National Provider Identifier
Stacey Lynn Teagarden
Stacey Lynn Teagarden is listed in the NPPES registry with a primary specialty of Pediatric Registered Nurse in Jamestown, NY and a listed phone number of (716) 483-4203.
Profile Overview
- NPI
- 1215609037
- Provider Type
- Individual
- Primary Specialty
- Pediatric Registered Nurse
- Enumeration Date
- September 30, 2021
- Last Updated
- September 30, 2021
Practice Location
- 50 E 8Th St
- Jamestown, NY 14701-3502
Phone: (716) 483-4203
Specialties
- Pediatric Registered Nurse (163WP0200X)
Full Record
- NPI
- 1215609037
- Entity Type
- Individual
- Last Name
- Teagarden
- First Name
- Stacey
- Middle Name
- Lynn
- Mailing Street Address
- 50 E 8Th St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-3502
- Mailing Country
- US
- Mailing Phone
- (716) 483-4203
- Practice Street Address
- 50 E 8Th St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-3502
- Practice Country
- US
- Practice Phone
- (716) 483-4203
- Enumeration Date
- September 30, 2021
- Last Updated
- September 30, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 30, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Registered Nurse (163WP0200X)