STACY DIANE NINAN

LEBANON, TN
NPI1346418183
Former NameSTACY DIANE KELLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TN  APN0000013199)
Enumeration Date2008-02-14
Last Update Date2017-01-18
Business Address
-- STACY DIANE NINAN A.P.N.
1423 W BADDOUR PKWY
LEBANON, TN 37087-3061
Phone number: 615-257-0900
Mailing Address
-- STACY DIANE NINAN A.P.N.
PO BOX 1165
LEBANON, TN 37088-1165
Phone number: 615-257-0900
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