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Vetres Statum, LPN
NPI 1902043300 · Licensed Practical Nurse · Fort Campbell, KY
Vetres Statum, LPN is a Licensed Practical Nurse provider in Fort Campbell, KY (NPI 1902043300).
Provider details
- NPI number
- 1902043300
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 0000068878 (TN)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 Joel Dr
Young Eagle Clinic
Fort Campbell, KY 42223-5318
Phone: (270) 798-8258
Fax: (270) 956-0444
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2009-01-07
- Last updated
- 2009-01-07
Frequently asked questions
- What is Vetres Statum's NPI number?
- Vetres Statum's National Provider Identifier (NPI) is 1902043300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vetres Statum's specialty?
- Vetres Statum is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Vetres Statum located?
- Vetres Statum's practice location on file with NPPES is 650 Joel Dr, Fort Campbell, KY 42223-5318.
- What is Vetres Statum's phone number?
- The practice phone number listed in the NPPES registry for Vetres Statum is (270) 798-8258.
- Is Vetres Statum's NPI active?
- Yes — Vetres Statum's NPI (1902043300) is active in the NPPES registry as of the last update on 2009-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.