Stacy M Pemberton
Stacy M Pemberton is a Nurse Practitioner in Sequatchie, Tennessee. Qualified in 2024, 2 years ago. Practices with Volunteer Behavioral Health Care System, a 44-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 2
- Licensed in
- TN
- In the registry since
- 2024
Practice location Address checks out
298 Sequatchie Mountain RdSequatchie, TN 37374-5000
Phone: (423) 605-7415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 36877 (TN) |
|---|
Record details
| NPI number | 1063241438 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 1, 2024 |
| Last updated in NPPES | August 1, 2024 |
| Certification date | August 1, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Volunteer Behavioral Health Care System — 44 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |