Stanley, Jessica R.

Stanley, Jessica R. is an individual health care provider with primary practice located at Corner Of Lamont And Veterans Way Building 200, Mountain Home TN 37684-4000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stanley, Jessica R. can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
Corner Of Lamont And Veterans Way Building 200 Mountain Home TN 37684-4000
Phone: (423) 926-1171
Fax: (423) 979-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6435 Tennessee

Profile Details

NPI number 1689669566
LBN Legal business name Stanley, Jessica R.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Oct 8th, 2015 - about 9 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 1689669566 NPPES
Tennessee MEDICAID 3095873

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