SearchTennessee163WC1500X

Alicia Stanley

NPI 1760175095 · on the registry since 2023

Practice

Address
10825 Old Highway 64
Bolivar, TN 38008
Phone
(731) 658-5291
Clinicians at this address
23

Registry record

Primary taxonomy
163WC1500X
163WC1500X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee