| Doctor Name: | MRS. JESSICA STANFILL |
| NPI Number: | 1134505514 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 20205 |
| Business Practice Address: | 644 Highway 114 S Scotts Hill, TN - 383745023 |
| Business Phone Number: | 7315493191 |
| Business Fax Number: | 7315493005 |
| Mailing Address: | 644 Highway 114 S, SCOTTS HILL |
| State: | TN |
| Postal Code: | 383745023 |
| Phone Number: | 7315493191 |
| Fax Number: | 7315493005 |
| NPI Enumeration Date: | 08/07/2015 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | 20205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |