Quillen, Staci M

Quillen, Staci M is an individual health care provider with primary practice located at 500 Mcfarland St Suite E, Morristown TN 37814-3992. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Quillen, Staci M can be contacted via phone (423) 587-0860.

Contact Information

Primary practice address
500 Mcfarland St Suite E Morristown TN 37814-3992
Phone: (423) 587-0860
Fax: (423) 586-1027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7098 Tennessee

Profile Details

NPI number 1003839580
LBN Legal business name Quillen, Staci M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003839580 NPPES
Tennessee Other 31597547 BCBS

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