Organization · Type 2 NPI

Well Child

Family Nurse Practitioner · Memphis, TN

NPI number 1275887580 Active

Practice location

650 New York St
Memphis, TN 38104-5536

Fax (901) 274-5858

Mailing address

112 Cabriolet Cv
Marion, AR 72364-2508

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X17083 (TN)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1275887580

Well Child's National Provider Identifier is 1275887580, issued on Nov 8, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Nov 8, 2012.