Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Renee Nickell

Individual provider Assisted Living Facility · NPI 1306550249

Stephanie Renee Nickell is an Assisted Living Facility in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2023

Practice location Address checks out

300 Sango Dr
Clarksville, TN 37043-6822
Phone: (931) 368-9622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 0000000134 (TN)

Record details

NPI number1306550249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2023
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023
Mailing address71 Ellington Ter, Clarksville, TN 37040-5147

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