Provider Demographics
NPI:1679371926
Name:TUGGLE, STEPHANIE REGINA (RN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:REGINA
Last Name:TUGGLE
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:REGINA
Other - Last Name:BOAKYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1009 TIVOLI CRES APT 104
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453-2330
Mailing Address - Country:US
Mailing Address - Phone:757-589-4636
Mailing Address - Fax:
Practice Address - Street 1:4600 WESTGROVE CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5414
Practice Address - Country:US
Practice Address - Phone:757-589-4636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health