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Individual

BRIAN GENE STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
7715 OAK RIDGE HWY, KNOXVILLE, TN 37931-3338
(865) 694-0376
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN10948
TN
363L00000X
Nurse Practitioner
RN128174
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3640304
TN
Enumeration date
06/12/2006
Last updated
11/26/2013
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