Individual
STACEY ANNE KESTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC MSN
Contact information
Practice address
305 N BELLWOOD RD, MORRISTOWN, TN 37814-1188
(865) 471-2700
(865) 471-2704
Mailing address
305 N BELLWOOD RD, MORRISTOWN, TN 37814-1188
(865) 471-2700
(865) 471-2704
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
96945
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3349271
—
TN
Enumeration date
11/07/2005
Last updated
12/14/2023
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