STACEY MOTT

JACKSON, TN
NPI1992002067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  15611)
Enumeration Date2011-02-24
Last Update Date2017-03-27
Business Address
-- STACEY MOTT MSN, FNP-BC
1340 UNION UNIVERSITY DR
JACKSON, TN 38305-3780
Phone number: 731-215-1281
Mailing Address
-- STACEY MOTT MSN, FNP-BC
1340 UNION UNIVERSITY DR
JACKSON, TN 38305-3780
Phone number: 731-215-1281
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