Provider Demographics
NPI:1518073204
Name:STUART, ALICE A (APRN, BC)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:A
Last Name:STUART
Suffix:
Gender:F
Credentials:APRN, BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:222 GODCHAUX HALL
Mailing Address - Street 2:461 21ST AVENUE SO
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37240-0001
Mailing Address - Country:US
Mailing Address - Phone:615-343-3250
Mailing Address - Fax:615-343-3327
Practice Address - Street 1:1427 WILLIAM BLOUNT DR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-8249
Practice Address - Country:US
Practice Address - Phone:865-977-5477
Practice Address - Fax:865-380-2553
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN6894363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1279808OtherDEA