Individual
MRS. HEATHER KILPATRICK STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2241 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3637
(931) 433-6456
(931) 433-8911
Mailing address
2241 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3637
(931) 433-6456
(931) 433-8911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
194385
TN
363LF0000X
Family Nurse Practitioner
APN0000027210
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27210
TN
Other
Enumeration date
06/12/2013
Last updated
02/11/2026
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