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1548737935
STEPHANIE M CHILDRESS
JOHNSON CITY, TN
NPI
1548737935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 25106)
Enumeration Date
2018-10-24
Last Update Date
2023-11-20
Business Address
STEPHANIE M CHILDRESS FNP-C
316 MARKETPLACE BLVD STE 20
JOHNSON CITY, TN 37604-2596
Phone number: 423-794-5580
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Mailing Address
STEPHANIE M CHILDRESS FNP-C
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-794-5520
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