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MRS. STACY LYNN PARK FNP
NPI 1205012234
Nurse Practitioner - Family in Chattanooga, TN

Active since January 22, 2008
721 GLENWOOD DR, SUITE 462A, CHATTANOOGA, TN 37404(423) 624-2611 Get Directions Write a Review

NPPES record last updated: December 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Stacy Lynn Park Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACY LYNN PARK FNP (NPI 1205012234) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (APN0000012977) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1205012234
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STACY LYNN PARKCredential: FNP
Location Address721 GLENWOOD DR, SUITE 462AChattanooga, TN 37404-1106
Mailing Address721 Glenwood Dr, Suite 462aChattanooga, TN 37404-1106 · (423) 624-2611
Phone(423) 624-2611
Sole ProprietorNo
Enumeration DateJanuary 22, 2008
Last NPPES UpdateDecember 10, 2008
✔ NPI 1205012234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN0000012977
721 GLENWOOD DR, Chattanooga, TN 37404
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HYTHAM A KADRIE MD
Psychiatry & Neurology (Neurology)
721 GLENWOOD DR, STE 467-WEST
CHATTANOOGA, TN 37404
Hamilton County (423) 698-3423
GI CONSULTANTS, PC
Internal Medicine (Gastroenterology)
721 GLENWOOD DR, STE. W552
CHATTANOOGA, TN 37404
Hamilton County (423) 629-6258
DR. CHARLES A PORTERA SR. MD
Obstetrics & Gynecology (Gynecologic Oncology)
721 GLENWOOD DR, SUITE 560W
CHATTANOOGA, TN 37404
Hamilton County (423) 622-5500
CANNON & CANNON MEDICAL, PLLC
Internal Medicine
721 GLENWOOD DR, SUITE W-462
CHATTANOOGA, TN 37404
Hamilton County (423) 624-2611
CHATTANOOGA SURGICAL ONCOLOGY AND ASSOCIATES, PLLC
Surgery (Surgical Oncology)
721 GLENWOOD DR, SUITE 471W
CHATTANOOGA, TN 37404
Hamilton County (423) 622-2494
ROBERT M. BARNETT, III, MD
Surgery
721 GLENWOOD DR, SUITE W460
CHATTANOOGA, TN 37404
Hamilton County (423) 495-2600
WALTER B ROSE M.D.
Specialist
721 GLENWOOD DR, SUITE 550-WEST MEMORIAL MEDICAL BUILDING
CHATTANOOGA, TN 37404
Hamilton County (423) 698-8692
ALAN F. SHIKOH, M.D., P.C
Internal Medicine (Gastroenterology)
721 GLENWOOD DR, SUITE W473
CHATTANOOGA, TN 37404
Hamilton County (423) 495-4730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Park's NPI number?

The NPI number for Stacy Park is 1205012234. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Stacy Park located?

Stacy Park practices at 721 Glenwood Dr Suite 462A, Chattanooga, TN 37404. The listed phone number is (423) 624-2611.

What is Stacy Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacy Park was last updated on December 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.