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ASHLEY P STIDHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 MEDICAL PARK BLVD, SUITE 458W, BRISTOL, TN 37620-7430
(423) 844-4800
(423) 230-6905
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20368
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q018981
TN
Enumeration date
11/23/2015
Last updated
08/29/2016
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