Individual
MRS. SELICIA MADONNA STOOKSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
710 N MAIN ST, CLINTON, TN 37716-3143
(865) 425-8800
(865) 457-4252
Mailing address
710 N MAIN ST, CLINTON, TN 37716-3143
(865) 425-8800
(865) 457-4252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000070124
TN
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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