Individual provider · Type 1 NPI

Cassidy Thetford, AGNP-C

Nurse Practitioner · Memphis, TN

NPI number 1013703966 Active

Practice location

6019 Walnut Grove Rd
Memphis, TN 38120-2113

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice locations

  • 6019 Walnut Grove Rd Ste 210, Memphis, TN 38120-2113 · (901) 226-4910

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X38571 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013703966

Cassidy Thetford, AGNP-C's National Provider Identifier is 1013703966, issued on Apr 17, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Memphis, TN. The record was last updated on Apr 30, 2025.