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

Stacey Hubbard, FNP

Individual provider Family Nurse Practitioner · NPI 1811379639

Stacey Hubbard, FNP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2014, 12 years ago. Practices with Cs Pacs 3 Southeast LLC, a 126-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

119 Boone Ridge Dr Ste 201
Johnson City, TN 37615-4998
Phone: (865) 673-6741
Fax: (865) 673-6634
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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 R862145 (MS)

Record details

NPI number1811379639
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESSeptember 22, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cs Pacs 3 Southeast Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Johnson City