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Stephanie Renee Nickell
Assisted Living Facility in Clarksville, Tennessee
NPI 1306550249

Stephanie Renee Nickell is an Assisted Living Facility based in Clarksville, TN. Stephanie Renee Nickell practices in Clarksville, TN. The NPI Number for Stephanie Renee Nickell is 1306550249 and holds a License No. 0000000134 (Tennessee).

The current practice location address for Stephanie Renee Nickell is 300 Sango Dr, Clarksville, TN and can be reached out via phone at 931-368-9622. You can also correspond with Stephanie Renee Nickell through the mailing address at 71 ELLINGTON TER, CLARKSVILLE, TN - 37040-5147 (mailing address contact number: 931-220-3116).

Location: 300 Sango Dr, Clarksville, TN, 37040-5147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306550249
Provider Name
Stephanie Renee Nickell
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Sango Dr, Clarksville, TN, 37040-5147
Phone Number
931-368-9622
Fax Number
Provider Enumeration Date
01/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Sango Dr
City
Clarksville
State
Tennessee
Zip
37043-6822
Phone Number
931-368-9622
Fax Number
person
Provider Business Mailing Address Details
Address
71 Ellington Ter
City
Clarksville
State
Tennessee
Zip
37040-5147
Phone Number
931-220-3116
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
0000000134 (Tennessee)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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