Individual
MICHAELLENA STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2450
(865) 970-9800
(865) 374-7129
Mailing address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2450
(865) 374-7123
(865) 374-7129
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
68986
TN
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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