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STEPHANIE RENEE NICKELL
NPI 1306550249
Assisted Living Facility in Clarksville, TN

Active since January 05, 2023
300 SANGO DR, CLARKSVILLE, TN 37043(931) 368-9622 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Renee Nickell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE RENEE NICKELL (NPI 1306550249) is an individual assisted living facility provider in Clarksville, Tennessee, licensed in Tennessee (0000000134) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1306550249
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameSTEPHANIE RENEE NICKELL
Location Address300 SANGO DRClarksville, TN 37043-6822
Mailing Address71 Ellington TerClarksville, TN 37040-5147 · (931) 220-3116
Phone(931) 368-9622
Sole ProprietorYes
Enumeration DateJanuary 5, 2023
NPPES CertifiedJanuary 5, 2023
✔ NPI 1306550249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TN · 0000000134
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
300 SANGO DR, Clarksville, TN 37043
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE WATERFORD IN SANGO
Assisted Living Facility
300 SANGO DR
CLARKSVILLE, TN 37043
Montgomery County (931) 368-9622
HEARTS OF SILVER HOME CARE, LLC
Assisted Living Facility
300 SANGO DR
CLARKSVILLE, TN 37043
Montgomery County (931) 368-9622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Nickell's NPI number?

The NPI number for Stephanie Nickell is 1306550249. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Stephanie Nickell located?

Stephanie Nickell practices at 300 Sango Dr, Clarksville, TN 37043. The listed phone number is (931) 368-9622.

What is Stephanie Nickell's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Stephanie Nickell was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.