Individual
MRS. KATHERINE STILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9437 US HIGHWAY 70 E, MC EWEN, TN 37101-4705
(931) 582-8820
Mailing address
9437 US HIGHWAY 70 E, MC EWEN, TN 37101-4705
(931) 582-8820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17528
TN
363LF0000X
Family Nurse Practitioner
Primary
17528
TN
Other
Enumeration date
04/01/2013
Last updated
06/03/2014
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