1. Home
  2. Directory
  3. Kentucky
  4. Fort Campbell
  5. Licensed Practical Nurse
  6. NPI Profile

MS. VETRES OREATHER STATUM LPN
NPI 1902043300
Licensed Practical Nurse in Fort Campbell, KY

Active since January 07, 2009
650 JOEL DR, YOUNG EAGLE CLINIC, FORT CAMPBELL, KY 42223(270) 798-8258(270) 956-0444 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Vetres Oreather Statum Lpn NPPES

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

MS. VETRES OREATHER STATUM LPN (NPI 1902043300) is an individual licensed practical nurse in Fort Campbell, Kentucky, licensed in Tennessee (0000068878) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1902043300
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. VETRES OREATHER STATUMCredential: LPN
Location Address650 JOEL DR, YOUNG EAGLE CLINICFort Campbell, KY 42223-5318
Mailing Address650 Joel Dr, Young Eagle ClinicFort Campbell, KY 42223-5318 · (270) 798-8258 · Fax (270) 956-0444
Phone(270) 798-8258
Fax(270) 956-0444
Sole ProprietorNo
Enumeration DateJanuary 7, 2009
✔ NPI 1902043300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TN · 0000068878
Definition
A licensed practical nurse 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.
650 JOEL DR, Fort Campbell, KY 42223
Open in Google Maps ↗

Other Identifiers 1

Other0000068878TN · Nursing License

Other Providers at the Same Location NPPES 20

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

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

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 Vetres Statum's NPI number?

The NPI number for Vetres Statum is 1902043300. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Vetres Statum located?

Vetres Statum practices at 650 Joel Dr Young Eagle Clinic, Fort Campbell, KY 42223. The listed phone number is (270) 798-8258.

What is Vetres Statum's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Vetres Statum was last updated on January 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.