Individual
CHRISTLE CHENILLE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1700 CRESCENT MEADOWS DR, HOLLY SPRINGS, MS 38635-7417
(662) 252-2552
Mailing address
1490 UNION AVE # 204, MEMPHIS, TN 38104-3725
(662) 402-4134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
16876
TN
363LF0000X
Family Nurse Practitioner
Primary
A004450
AR
Other
Enumeration date
08/29/2012
Last updated
09/17/2020
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