MRS. SELICIA MADONNA STOOKSBURY (NPI# 1104153774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104153774 |
| Entity Type | Individual |
| Full Name | MRS. SELICIA MADONNA STOOKSBURY |
| Credential | LPN |
| Practice Address |
710 N Main St Clinton TN 37716-3143 |
| Practice Telephone | 8654258800 |
| Practice Fax Number | 8654574252 |
| Mailing Telephone | 8654258800 |
| Mailing Fax Number | 8654574252 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 0000070124 | TN | Nursing Service Providers |
| Street Address |
710 N MAIN ST |
| City | CLINTON |
| State | TN |
| Zip Code | 37716-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719596 | Mallory O'brien | Registered Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2020-10-26 |
| 1114535036 | Wesley Whisenant | Dentist | 710 N Main St, Clinton, TN 37716-3143 | 2020-07-16 |
| 1831732916 | Sarah Hogan | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2019-10-22 |
| 1083267835 | Viginia Lynn Canfield | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2019-07-22 |
| 1033694021 | Sierra Cheyenne Mccullah | Registered Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2018-09-26 |
| 1114409307 | Stephanie Seeber | Licensed Practical Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2018-09-04 |
| 1275029217 | Katrina Michelle Bailey | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2018-07-02 |
| 1720582174 | Tracey Jean Smith | Technician, Pathology | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-21 |
| 1861995169 | Lisa Marie Lay | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-13 |
| 1427586619 | Mary Lauren Sharp | Dentist | 710 N Main St, Clinton, TN 37716-3143 | 2017-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269437 | Cathy Jones | Licensed Practical Nurse | 2047 Dutch Valley Rd, Clinton, TN 37716-5121 | 2020-09-15 |
| 1407406119 | Kimberly Marie Mcmahan | Licensed Practical Nurse | 620 Eagle Bend Rd, Clinton, TN 37716-3825 | 2019-09-14 |
| 1154825420 | Karen Gene Nitzel | Licensed Practical Nurse | 8177 Cleve Mass Rd Lot 30, Clinton, OH 44216-9146 | 2018-03-21 |
| 1053827105 | Cineka Melicia Phillips | Licensed Practical Nurse | 104 Mesa Verda Cv, Clinton, MS 39056-5916 | 2017-12-26 |
| 1548703648 | Monica Morse | Licensed Practical Nurse | 3283 State Route 12b, Clinton, NY 13323-4622 | 2016-11-22 |
| 1629525639 | Thomas Mckinnie | Licensed Practical Nurse | 7017 Sand Cherry Way, Clinton, MD 20735-4265 | 2016-09-07 |
| 1275909533 | Belta Monie | Licensed Practical Nurse | 9013 Goldfield Pl, Clinton, MD 20735-2027 | 2015-08-20 |
| 1891130159 | Mary Lynne Boss | Licensed Practical Nurse | 449 E Comet Rd, Clinton, OH 44216-9425 | 2013-05-01 |
| 1326317645 | Christine Erin Duval | Licensed Practical Nurse | 364 Green St Apt 4, Clinton, MA 01510-3013 | 2011-12-15 |
| 1780952754 | Elizabeth Rhoades | Licensed Practical Nurse | 442 Comet Ln, Clinton, OH 44216-9457 | 2011-12-06 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.