Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Stacy, FNP-C

Individual provider Family Nurse Practitioner · NPI 1568962843

Jennifer Stacy, FNP-C is a Nurse Practitioner in Bristol, Tennessee. Qualified in 2017, 9 years ago. Practices with Specialists in Pain Management, PLLC Dba Spine and Pain Associates, a 37-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

350 Blountville Hwy Ste 105
Bristol, TN 37620-1676
Phone: (423) 797-5504
Fax: (423) 797-4486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23778 (TN)

Record details

NPI number1568962843
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2018
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Specialists In Pain Management, Pllc Dba Spine And Pain Associates — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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