Individual
HEATHER ANNE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2861 BROAD AVE, MEMPHIS, TN 38112-2903
(901) 701-2520
(901) 260-8598
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 260-8500
(901) 260-8598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22630
TN
363LF0000X
Family Nurse Practitioner
9332632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212100
—
FL
Enumeration date
10/17/2011
Last updated
07/21/2022
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