STACEY MICHELIN

CLARKSVILLE, TN
NPI1750873089
Former NameSTACEY BOOTHE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  24149)
Enumeration Date2018-06-01
Last Update Date2022-06-28
Business Address
STACEY MICHELIN FNP-C
2269 WILMA RUDOLPH BLVD STE 106
CLARKSVILLE, TN 37040-8416
Phone number: 931-542-9010
Mailing Address
STACEY MICHELIN FNP-C
2269 WILMA RUDOLPH BLVD STE 106
CLARKSVILLE, TN 37040-8416
Phone number: 931-542-9010
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