Selicia Madonna Stooksbury, LPN
Licensed Practical Nurse in Clinton, TN. Individual provider (NPI-1).
NPI number1104153774
StatusActive
Last updated in NPPESNov 3, 2009
Details
- NPI
- 1104153774
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Selicia Madonna Stooksbury
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2009
- Last updated
- Nov 3, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 0000070124 | TN | Yes |
Practice location
710 N Main StClinton, TN 37716-3143
Phone 865-425-8800 · Fax 865-457-4252
Mailing address
710 N Main StClinton, TN 37716-3143
Phone 865-425-8800 · Fax 865-457-4252
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All 11 Licensed Practical Nurse providers in Clinton · All 360 providers in Clinton
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