Individual
JACQUELYN F STINNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 516-5741
(901) 516-1220
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
118029
TN
363L00000X
Nurse Practitioner
Primary
7697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3640121
—
TN
Enumeration date
03/03/2007
Last updated
01/10/2024
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