Individual provider · Type 1 NPI

Selicia Madonna Stooksbury, LPN

Licensed Practical Nurse · Clinton, TN

NPI number 1104153774 Active

Practice location

710 N Main St
Clinton, TN 37716-3143

Fax (865) 457-4252

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0000070124 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104153774

Selicia Madonna Stooksbury, LPN's National Provider Identifier is 1104153774, issued on Nov 3, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Clinton, TN. The record was last updated on Nov 3, 2009.