Individual
KAYLA MARIE STOOKSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITION EDUCATOR
Contact information
Practice address
185 JUSTICE CENTER DRIVE, RUTLEDGE, TN 37861
(865) 828-5247
Mailing address
382 HINCHEY HOLLOW RD, JEFFERSON CITY, TN 37760-3516
(865) 828-5247
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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