Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APN0000013174 | TN |
NPI | 1043475031 |
---|---|
Provider Name | Mrs. Jennifer Massey Stubblefield |
First Address | Franklin, TN 37067-6456 |
Second Address | Franklin, TN 37067-6456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2008 |
Last Update Date | 12/09/2011 |