TENEESA STUCKEY

FORT WAYNE, IN
NPI1174212351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: IN  71014074A)
Additional Taxonomies163WX0003X Registered Nurse, Obstetric, Inpatient
(Licence: IN  28154319A)
Enumeration Date2023-05-03
Last Update Date2023-09-22
Business Address
TENEESA STUCKEY WHNP
7920 W JEFFERSON BLVD STE 260
FORT WAYNE, IN 46804-4167
Phone number: 574-202-2942
Mailing Address
TENEESA STUCKEY WHNP
408 BRISTOL AVE
MIDDLEBURY, IN 46540-9049
Phone number: 574-202-2942