Individual
STEPHANIE SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
201 S FRONT ST, HALLS, TN 38040-1547
(731) 836-5617
(731) 836-5284
Mailing address
201 S FRONT ST, HALLS, TN 38040-1547
(731) 836-5617
(731) 836-5284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
165326
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
18502
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q004169
—
TN
Enumeration date
02/25/2014
Last updated
01/28/2015
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