Stacy Marie Tavenner
Nurse Practitioner
3001 Hungary Spring Rd Ste C, Henrico
Virginia, 23228-2428
317-418-5138
Stacy Marie Tavenner is a Henrico, Virginia based nurse practitioner. Active license number of Stacy Marie Tavenner is RN212253 in Georgia. Her current practice location is 3001 Hungary Spring Rd Ste C, Henrico. Patients can reach her at 317-418-5138 and her NPI number (Unique professional ID assigned by NPPES) is 1710535091.
Stacy Marie Tavenner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Stacy Marie Tavenner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Stacy Marie Tavenner |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Practice Address: | 3001 Hungary Spring Rd Ste C, Henrico,
Virginia, 23228-2428 |
| Phone: | 317-418-5138 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1710535091 |
| NPI Enumeration Date: | 29 Aug, 2019 |
| NPI Last Update On: | 15 Nov, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy Marie Tavenner are as mentioned below.
| License Number | Specialization | State | Status | |
| RN212253 | | Georgia | Primary | |
| 24185330 | Nurse Practitioner | Virginia | Secondary | |
| 11021325 | Nurse Practitioner | Florida | Secondary | |
| RN212253 | Adult Health | Georgia | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Stacy Marie Tavenner
4830 Anvil Ct,
Jefferson, Georgia |
| Zip: | 30549-8858 |
| Phone Number: | 317-418-5138 |
Patients can reach Stacy Marie Tavenner at
3001 Hungary Spring Rd Ste C, Henrico, Virginia or can
call to book an appointment on 317-418-5138.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.