Organization · Type 2 NPI
Full Moon Psychiatric, LLC
Psychiatric/Mental Health Nurse Practitioner · Memphis, TN
NPI number
1255908026
Active
Practice location
5810 Shelby Oaks Dr Ste B
Memphis, TN 38134-7315
Mailing address
2033 Fort Campbell Blvd, Ste A Pmb 1071
Clarksville, TN 37042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1255908026
Full Moon Psychiatric, LLC's National Provider Identifier is 1255908026, issued on Jun 9, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Memphis, TN. The record was last updated on Jun 14, 2021.