Individual
DR. BERNICE STRATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7973 W DESTINY BLVD, FORT CAMPBELL, KY 42223-5429
(270) 798-4677
Mailing address
691 SUNSET PARK DR, SUWANEE, GA 30024-5526
(910) 494-8200
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN301512
GA
363LF0000X
Family Nurse Practitioner
Primary
RN301512
GA
Other
Enumeration date
03/05/2022
Last updated
02/26/2024
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