Individual
HEATHER STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562-6001
(931) 268-0291
Mailing address
972 HAYDENBURG RD, WHITLEYVILLE, TN 38588-7059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
35808
TN
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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