Individual
JESSICA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1017 EXECUTIVE DR, SUITE 101, HIXSON, TN 37343-7910
(423) 870-1999
Mailing address
1017 EXECUTIVE DR, SUITE 101, HIXSON, TN 37343-7910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14868
TN
Other
Enumeration date
03/17/2010
Last updated
07/30/2010
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