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Individual

AMIEE FOLEY STOOKSBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
215 HAWKS RD, SUITE 6, MARTIN, TN 38237-2708
(731) 587-3454
(731) 587-3460
Mailing address
215 HAWKS RD, SUITE 6, MARTIN, TN 38237-2708
(731) 587-3454
(731) 587-3460

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12621
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1516678
TN
01
4171303
BCBST
TN
Enumeration date
05/09/2007
Last updated
03/23/2015
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