Organization · Type 2 NPI
Impact Midsouth Inc.
Nurse Practitioner · Memphis, TN
Practice location
4512 Trout Valley Dr
Memphis, TN 38141-7724
Mailing address
3169 Players Club Pkwy
Memphis, TN 38125-8835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
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 1033088422
Impact Midsouth Inc.'s National Provider Identifier is 1033088422, issued on Nov 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Memphis, TN. The record was last updated on Nov 3, 2025.