Individual
MRS. MICHELLE LYNN STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
980 HIGHWAY 28 STE 100, JASPER, TN 37347-3696
(423) 939-1500
Mailing address
980 HIGHWAY 28, STE 100, JASPER, TN 37347-3696
(423) 939-1500
(423) 510-9541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
DO NOT HAVE
—
Enumeration date
02/01/2019
Last updated
04/04/2019
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