Kelsie Stafford
Individual provider Active NPI Registered Nurse · Gainesboro, TN
NPI 1033640404 · NPPES record last updated Mar 27, 2017
Key facts
- NPI
- 1033640404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN 0000207309 (TN)
- Practice address
- 600 N Murray St
Gainesboro, TN 38562-9313 - Phone
- (931) 268-0218
- NPI assigned
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 0000207309 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 0000207309 | TN | Yes |
Addresses
Primary practice location
600 N Murray St
Gainesboro, TN 38562-9313
Mailing address
600 N Murray St
Gainesboro, TN 38562-9313
Phone (931) 268-0218
Other providers in Gainesboro, TN
- Kendra Diann Maynard
- Alexa Allison Miller
- Courtney Roberts
- Kursten McKenzie Roop
- Heather Stafford
- Margie A Stafford
- State of Tennessee
- Erin Kate Stooksbury
- The Grove Family Wellness LLC
- Thomas J Mabry & Associates
All providers in Gainesboro, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.