Individual
STEPHANIE COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
833 LAWRENCE AVE, MARYVILLE, TN 37803-4857
(865) 982-7121
Mailing address
330 MELROSE ST, MARYVILLE, TN 37803-4814
(865) 981-5741
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
978561
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
978561
TENNESSEE BOARD OF NURSING
TN
Enumeration date
03/29/2022
Last updated
03/29/2022
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