STACYE JETER

PARIS, TN
NPI1205050770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  0000012607)
Enumeration Date2007-04-13
Last Update Date2014-05-13
Business Address
-- STACYE JETER APN
301 TYSON AVE
PARIS, TN 38242-4544
Phone number: 731-644-1220
Mailing Address
-- STACYE JETER APN
301 TYSON AVENUE
PARIS, TN 38242
Phone number: