Provider Demographics
NPI:1386421600
Name:STONE, VIKTORIA (FNP-C)
Entity type:Individual
Prefix:
First Name:VIKTORIA
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:VIKTORIA
Other - Middle Name:
Other - Last Name:BOKROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11570 US-70
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-4922
Mailing Address - Country:US
Mailing Address - Phone:901-504-3394
Mailing Address - Fax:
Practice Address - Street 1:11570 US-70
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002
Practice Address - Country:US
Practice Address - Phone:901-504-3394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34854363LF0000X
TNF09230239363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily