STACY TAVENNER

Nurse Practitioner

NPI: 1710535091Individual

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

24185330(VA)11021325(FL)RN212253(GA)

Adult Health Nurse Practitioner

Nurse Practitioner — Adult Health

Code: 363LA2200X

RN212253(GA)

Contact & Hours

Via practice · 2 locations total

Address: 3001 HUNGARY SPRING RD STE C
HENRICO, VA 23228
Phone: (317) 418-5138

Locations (2)

Practice Location

3001 HUNGARY SPRING RD STE C, HENRICO, VA

Practice Location

400 N MOUNT ZION RD, LEBANON, IN

Quick Facts

NPI: 1710535091
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 4
Locations: 2

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