DR. STEPHANIE CONDER (NPI# 1083942205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083942205 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE CONDER |
| Credential | DNP, FNP-BC |
| Practice Address |
130 Independence Ln La Follette TN 37766-3031 |
| Practice Telephone | 4235621705 |
| Practice Fax Number | 4235663718 |
| Mailing Telephone | 4235621705 |
| Mailing Fax Number | 4235663718 |
| Enumeration Date | 2009-11-29 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN0000128792 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000014880 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q006075 | 05 |
| Street Address |
130 INDEPENDENCE LN |
| City | LA FOLLETTE |
| State | TN |
| Zip Code | 37766-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062197 | John S Burrell | General Practice | 130 Independence Ln, La Follette, TN 37766-3031 | 2005-06-10 |
| 1871113779 | Amy Palmer | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2020-04-21 |
| 1326517947 | Debra Bowling | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2018-11-14 |
| 1215439203 | William Evan Wilson I | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2018-03-06 |
| 1598288425 | Mary Emily Tamer | Physician Assistant | 130 Independence Ln, La Follette, TN 37766-3073 | 2017-07-23 |
| 1932581667 | Deborah Lynn Russell | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2015-06-18 |
| 1083004584 | Andrew Follett | Counselor | 130 Independence Ln, La Follette, TN 37766-3073 | 2015-02-04 |
| 1285046722 | Mountain Home Vamc | Clinic/Center | 130 Independence Ln, La Follette, TN 37766-3031 | 2014-06-02 |
| 1639580772 | Hilda Newby | Registered Nurse | 130 Independence Ln, La Follette, TN 37766-3073 | 2014-05-12 |
| 1679848964 | Heather E. Grieve | Physician Assistant | 130 Independence Ln, La Follette, TN 37766-3073 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819914 | Legal Medicine | Nurse Practitioner | 100 South 5th Street, Lafollette, TN 37766 | 2019-03-04 |
| 1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
| 1740588920 | Campbell County Walk In Clinic LLC | Family Medicine | 2301 Jacksboro Pkie, Lafollette, TN 37766 | 2011-03-11 |
| 1992001853 | Complete Rural Healthcare and Medical Center Pllc | Specialist | 2146 Jacksboro Pike Suite C, Lafollette, TN 37766 | 2011-02-09 |
| 1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1548386899 | Gerald A Troutman | Dentist | 109 East Beech Street, Lafollette, TN 37766 | 2007-03-21 |
| 1437280815 | Susan Rebecca Mills | Nurse Practitioner | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 | 2007-03-08 |
| 1699844399 | County of Campbell | Ambulance | 136 North Massachusetts Ave, Lafollette, TN 37766 | 2006-11-07 |
| 1336230465 | George O'neal Vinsant | Surgery | 919 E. Central Avenue, Suite 201, Lafollette, TN 37766 | 2006-09-27 |
| Find all providers in zip 37766 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375754 | Hannah Deshea Daugherty | Nurse Practitioner | 2288 Long Hollow Rd, La Follette, TN 37766-5841 | 2020-01-23 |
| 1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
| 1780122671 | Pamela Cavins | Nurse Practitioner | 412 E Central Ave, La Follette, TN 37766-2530 | 2017-02-10 |
| 1457696502 | Lafollette Wellness Center | Nurse Practitioner | 2212 Jacksboro Pike, La Follette, TN 37766-2903 | 2012-11-30 |
| 1104186030 | Debra Verna | Nurse Practitioner | 504 S Tennessee Ave, La Follette, TN 37766-3649 | 2012-05-25 |
| 1659477032 | Jack Thomas Mcafee | Nurse Practitioner | 136 Davis Ln, La Follette, TN 37766-3118 | 2006-09-15 |
| 1487270641 | Sheena L Byrd | Nurse Practitioner | 402 E Central Ave, La Follette, TN 37766-2530 | 2020-06-23 |
| 1588154009 | Megan Raquel Rielly | Nurse Practitioner | 402 E Central Ave, La Follette, TN 37766-2530 | 2018-05-10 |
| 1336519842 | Heather Whittemore | Nurse Practitioner | 402 E Central Ave, La Follette, TN 37766-2530 | 2015-09-28 |
| 1932581667 | Deborah Lynn Russell | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2015-06-18 |
| Find all providers in LA FOLLETTE | ||||
| City | LA FOLLETTE |
| Zip Code | 37766 |
Please comment or provide details below to improve the information on DR. STEPHANIE CONDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.