Organization · Type 2 NPI
Garnet Health Provider LLC
Acute Care Nurse Practitioner · Memphis, TN
NPI number
1336503564
Active
Practice location
4493 Potters Cross Dr
Memphis, TN 38125-4421
Mailing address
PO Box 381531
Germantown, TN 38183-1531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 11962 (TN) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1336503564
Garnet Health Provider LLC's National Provider Identifier is 1336503564, issued on Apr 13, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Memphis, TN. The record was last updated on Jul 27, 2016.