Individual
STEPHANIA LYNN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
919 E COLLEGE ST, PULASKI, TN 38478-4432
(931) 207-1160
Mailing address
919 E COLLEGE ST, PULASKI, TN 38478-4432
(931) 207-1160
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0000016144
TN
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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