1093718264

Everything you always wanted to know about BINKLEY L STACEY NP but were afraid to ask.

BINKLEY L STACEY NP

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
BINKLEY L STACEY NP
Gender:
Male
Enumeration date:
2005-05-23
Last update date:
2016-01-18
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
4104478 Other BLUE CROSS BLUE SHIELD TN TN
500014543 Other RAILROAD MEDICARE PIN none
3906476 Medicaid none TN

Taxonomies

Taxonomy State License Number Primary?
363LF0000X Family TN APN7397 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6154465121
Mailing Address Fax Number 6154461357
Practice Location Address Telephone Number 9312457001
Practice Location Address Fax Number 9312457069

Addresses

Type Address City State Postal Country
Mailing Address 127 CRESTVIEW PARK DR DICKSON TN 37055 TN
Practice Location Address 490 DUNLOP LN CLARKSVILLE TN 0 TN

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1306849377 WISER, ELDRED
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1316462740 MARLOW, AUSTIN
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1326048844 SZCZUKA, ANNA
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1467645903 KASASBEH, EHAB
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1578934790 HENRICKSEN, ZILLA
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1598083826 TAURIAC, ASHLEY
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127 CRESTVIEW PARK DR TN DICKSON
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