Kesterson, Stacey Anne

Kesterson, Stacey Anne is an individual health care provider with primary practice located at 305 N Bellwood Rd , Morristown TN 37814-1188. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kesterson, Stacey Anne can be contacted via phone (865) 471-2700.

Contact Information

Primary practice address
305 N Bellwood Rd Morristown TN 37814-1188
Phone: (865) 471-2700
Fax: (865) 471-2704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 96945 Tennessee

Profile Details

NPI number 1073594263
LBN Legal business name Kesterson, Stacey Anne
Credentials RNC MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Dec 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073594263 NPPES
Tennessee MEDICAID 3349271

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