Stacy Diane Ninan, APN - Nurse Practitioner in Lebanon, TN

Stacy Diane Ninan, APN is a Nurse Practitioner - Acute Care based in Lebanon, Tennessee. Stacy Diane Ninan is licensed to practice in Tennessee (license number APN0000013199) and her current practice location is 1423 W Baddour Pkwy, Lebanon, Tennessee. She can be reached at her office (for appointments etc.) via phone at (615) 257-0900.

NPI number for Stacy Diane Ninan is 1346418183 and her current mailing address is Po Box 1165, Lebanon, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346418183.

Contact Information

Stacy Diane Ninan, APN
1423 W Baddour Pkwy,
Lebanon, TN 37087-3061
(615) 257-0900
(615) 443-1444

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Provider's Profile

Full NameStacy Diane Ninan
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1423 W Baddour Pkwy, Lebanon, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346418183
  • Provider Enumeration Date: 02/14/2008
  • Last Update Date: 01/18/2017

Medical Identifiers

Medical identifiers for Stacy Diane Ninan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346418183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APN0000013199 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Diane Ninan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Diane Ninan, APN
Po Box 1165,
Lebanon, TN 37088-1165

Ph: (615) 257-0900
Stacy Diane Ninan, APN
1423 W Baddour Pkwy,
Lebanon, TN 37087-3061

Ph: (615) 257-0900

Reviews and Comments


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