Individual provider · Type 1 NPI

Dava Mackensie Terry

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1043065550 Active

Practice location

1030 Jefferson Ave
Memphis, TN 38104-2127

Mailing address

920 Madison Ave Ste 447
Memphis, TN 38103-3438

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043065550

Dava Mackensie Terry's National Provider Identifier is 1043065550, issued on Apr 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Apr 18, 2024.