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Individual
MRS. SUZETTE CARROLL STANLEY
Active
Individual
MRS. SUZETTE CARROLL STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN APN FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000013889
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I501930
MEDICARE PTAN
TN
05
—
1526784
—
TN
01
—
4319063
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/26/2009
Last updated
08/15/2024
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