Individual
BRIANA ABIGAIL MARIAH STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
9219 LEE HWY STE 103, OOLTEWAH, TN 37363-4440
(423) 648-6483
Mailing address
5589 JONQUIL LN, OOLTEWAH, TN 37363-5120
(423) 290-8184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28018
TN
Other
Enumeration date
08/24/2020
Last updated
03/05/2025
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