Individual
JENNIFER ALANE STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-1000
Mailing address
358 HEADTOWN RD, JONESBOROUGH, TN 37659-4736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124112
TN
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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