Provider Demographics
NPI:1427933449
Name:ABBU, STEPHANIE (DNP, RN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:ABBU
Suffix:
Gender:F
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 BLAKEMORE AVE # 9004
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3505
Mailing Address - Country:US
Mailing Address - Phone:615-414-1331
Mailing Address - Fax:
Practice Address - Street 1:2135 BLAKEMORE AVE # 9004
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3505
Practice Address - Country:US
Practice Address - Phone:615-414-1331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN147866163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse