NPI 1023372273
Jan Dawn Bailey Stout
Practice location
- Address
- 26 Midway St, Bristol, TN 37620-1706
- Phone
- (423) 989-4500
- Fax
- (423) 989-4582
- Mailing address
- 1167 Spratlin Park Dr, Gray, TN 37615-6205
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1023372273
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Jul 2012
- Record last updated
- 2 Jul 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.