Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 81215 | TN |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | A810209 | MS |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | APN6369 | TN |
NPI | 1063466084 |
---|---|
Provider Name | Debra Jean Stubblefield |
First Address | Memphis, TN 38120-2367 |
Second Address | Memphis, TN 38120-2367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 27/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P01281 | (02) | TN |