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NPI Code Detail

MEDICARE: NANCY L STANFIELD

MEDICARE:   NANCY L STANFIELD
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
1183500000XPharmacist10093TN

General Provider Information

NPI Number : 1609498831
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY L STANFIELD
Provider Business Mailing Address
First Line : 2347 JONES BEND RD
Second Line :
City : LOUISVILLE
State : TN
Zip : 37777-5213
Country : US
Telephone Number : 865-373-8206
Fax Number :
Provider Business Practice Location Address
First Line : 2347 JONES BEND RD
Second Line :
City : LOUISVILLE
State : TN
Zip : 37777-5213
Country : US
Telephone Number : 865-373-8206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2020
Last Update Date : 05/11/2020

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Directions to “ NANCY L STANFIELD ” Practice Location

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