Tequila J Staten is a Family Nurse Practitioner based in Bowling Green, KY and is specialized in Family. Tequila J Staten practices in Bowling Green, KY and has the professional credentials of APRN. The NPI Number for Tequila J Staten is 1043549918 and holds a License No. 3006238 (Kentucky).
The current practice location address for Tequila J Staten is 5796 Nashville Rd, Bowling Green, KY and can be reached out via phone at 270-781-6477 and via fax at 270-781-6479.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100170760 | 05 | KY |
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