Stankiewicz, Jackie Lynn

Stankiewicz, Jackie Lynn is an sole proprietor health care provider with primary practice located at 5550 Franklin Pike Suite 101, Nashville TN 37220-2129. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stankiewicz, Jackie Lynn can be contacted via phone (615) 373-0033.

Contact Information

Primary practice address
5550 Franklin Pike Suite 101 Nashville TN 37220-2129
Phone: (615) 373-0033
Fax: (615) 373-0073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P2369 Tennessee

Profile Details

NPI number 1053306605
LBN Legal business name Stankiewicz, Jackie Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Mar 27th, 2008 - about 16 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 1053306605 NPPES
Tennessee MEDICAID 2899179

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