Individual
MS. STEPHANIE LYNN BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
253 LONDONDERRY RD, HARROGATE, TN 37752-3726
(618) 317-7177
(865) 213-7105
Mailing address
253 LONDONDERRY RD, HARROGATE, TN 37752-3726
(618) 317-7177
(865) 213-7105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
237821
TN
363LF0000X
Family Nurse Practitioner
3016034
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
29409
TN
Other
Enumeration date
07/14/2020
Last updated
03/18/2026
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