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

Mrs. Stacey Harris Tadlock, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1639684848

Mrs. Stacey Harris Tadlock, FNP-BC is a Nurse Practitioner in Williamsburg, Virginia. Graduated from University of Miami, Lm Miller School of Medicine in 2017, 9 years ago. Practices with Sentara Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
VA
In the registry since
2017
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

500 Sentara Cir Ste 202
Williamsburg, VA 23188-5727
Phone: (757) 984-9850
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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 0024175455 (VA)

Record details

NPI number1639684848
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedDecember 11, 2017
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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