Individual
MRS. JESSICA STANFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
270 W CHURCH ST STE A, LEXINGTON, TN 38351-2077
(731) 968-3646
Mailing address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
(731) 968-1870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20205
TN
207Q00000X
Family Medicine Physician
20205
TN
207R00000X
Internal Medicine Physician
20205
TN
208000000X
Pediatrics Physician
20205
TN
208100000X
Physical Medicine & Rehabilitation Physician
20205
TN
2085R0202X
Diagnostic Radiology Physician
20205
TN
208600000X
Surgery Physician
20205
TN
364SF0001X
Family Health Clinical Nurse Specialist
Primary
20205
TN
Other
Enumeration date
08/07/2015
Last updated
06/07/2024
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