Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE RENEE NICKELL
Active Sole ProprietorSTEPHANIE RENEE NICKELL is a Assisted Living Facility healthcare provider located in CLARKSVILLE, Tennessee. NPI 1306550249 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1306550249
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2023 (3.6246755697595 yrs)
- Last Updated
- Jan 5, 2023
- License
-
0000000134 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 SANGO DRCLARKSVILLE, TN, 370436822Browse TN providers · Browse ZIP 37043
- Phone
- 9313689622
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.