Individual
MRS. STEPHANIE BENTON GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
317 18TH AVE N STE 200, NASHVILLE, TN 37203-2253
(615) 292-3661
(615) 292-3662
Mailing address
317 18TH AVE N STE 200, NASHVILLE, TN 37203-2253
(615) 292-3661
(615) 292-3662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008561
VA
363A00000X
Physician Assistant
Primary
4324
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/31/2020
Last updated
06/26/2023
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