Individual
MRS. STEPHANIE FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, ACNPC-AG
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
1217 OLD EAST SIDE RD, BURNS, TN 37029-5642
(615) 972-5615
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
31925
TN
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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