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NPI Code Detail

MEDICARE: BRIANA ABIGAIL MARIAH STOCK APRN, NP-C

MEDICARE: BRIANA ABIGAIL MARIAH STOCK APRN, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner28018TN

General Provider Information

NPI Number : 1437761152
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA ABIGAIL MARIAH STOCK APRN, NP-C
Provider Business Mailing Address
First Line : 5589 JONQUIL LN
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-5120
Country : US
Telephone Number : 423-290-8184
Fax Number :
Provider Business Practice Location Address
First Line : 9219 LEE HWY STE 103
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-4440
Country : US
Telephone Number : 423-648-6483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2020
Last Update Date : 03/05/2025

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Directions to “ BRIANA ABIGAIL MARIAH STOCK APRN, NP-C” Practice Location

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