Kennedy-Southall, Stephanie Jean

Kennedy-Southall, Stephanie Jean is an individual health care provider with primary practice located at 115 E Brooklyn St , Linden TN 37096-3515. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kennedy-Southall, Stephanie Jean can be contacted via phone (931) 589-2104.

Contact Information

Primary practice address
115 E Brooklyn St Linden TN 37096-3515
Phone: (931) 589-2104
Fax: (931) 589-2513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 188184 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN24410 Tennessee

Profile Details

NPI number 1588156483
LBN Legal business name Kennedy-Southall, Stephanie Jean
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2018
Last updated Aug 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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