Individual
HOLLIE STOCKDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
110 RIDGEOAK PL, JACKSON, TN 38305-2303
(731) 803-1313
Mailing address
110 RIDGEOAK PL, JACKSON, TN 38305-2303
(731) 803-1313
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
205419
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-315181
IBCLC
TN
Enumeration date
11/11/2020
Last updated
07/09/2024
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