Stankiewicz, Jackie Lynn
Stankiewicz, Jackie Lynn is an sole proprietor health care provider with primary practice located at 5550 Franklin Pike Suite 101, Nashville TN 37220-2129. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stankiewicz, Jackie Lynn can be contacted via phone (615) 373-0033.Contact Information
Primary practice address
5550 Franklin Pike Suite 101
Nashville TN 37220-2129
Phone: (615) 373-0033
Fax: (615) 373-0073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P2369 | Tennessee |
Profile Details
| NPI number | 1053306605 |
|---|---|
| LBN Legal business name | Stankiewicz, Jackie Lynn |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Mar 27th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053306605 | NPPES |
| Tennessee | MEDICAID | 2899179 |
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