Individual provider · Type 1 NPI
Mimosa Travis, FNP
Family Nurse Practitioner · Memphis, TN
NPI number
1457920563
Active
Practice location
2594 Kimball Ave
Memphis, TN 38114-4301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 27862 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457920563
Mimosa Travis, FNP's National Provider Identifier is 1457920563, issued on Jun 22, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Jun 22, 2021.