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1023653037
STACI SMITH
SHELBYVILLE, TN
NPI
1023653037
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Former Name
STACI HOPPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TN 26843)
Enumeration Date
2019-11-13
Last Update Date
2024-04-30
Business Address
STACI SMITH FNP
2012 N MAIN ST
SHELBYVILLE, TN 37160-2022
Phone number: 931-703-0829
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Mailing Address
STACI SMITH FNP
199 MORRIS LN
WARTRACE, TN 37183-3112
Phone number: 931-703-0829
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