Individual
STEPHANIE A HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2305 CHAMBLISS AVE NW, EMERGENCY DEPARTMENT, CLEVELAND, TN 37311-3847
(423) 559-6000
Mailing address
108 HOLLY TRL NW, CLEVELAND, TN 37311-1074
(570) 847-4187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1346
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009978995
—
AL
Enumeration date
04/26/2006
Last updated
12/11/2008
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