Individual provider · Type 1 NPI
Stephanie Renee Nickell
Assisted Living Facility · Clarksville, TN
NPI number
1306550249
Active
Practice location
300 Sango Dr
Clarksville, TN 37043-6822
Mailing address
71 Ellington Ter
Clarksville, TN 37040-5147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 0000000134 (TN) |
Assisted Living Facility: 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.
2 other providers at this address
About NPI 1306550249
Stephanie Renee Nickell's National Provider Identifier is 1306550249, issued on Jan 5, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clarksville, TN. The record was last updated on Jan 5, 2023.