Individual
MRS. LISA DAWN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1755 PARR AVE, DYERSBURG, TN 38024-2004
(731) 627-0061
Mailing address
260 OLD JONES RD, NEWBERN, TN 38059-4294
(731) 627-0061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000079128
TN
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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