Organization · Type 2 NPI
Longevity Medical LLC
Psychiatric/Mental Health Registered Nurse · Memphis, TN
NPI number
1467723486
Active
Practice location
1355 B Lynnfield Rd, Ste 205
Memphis, TN 38119-5801
Fax (901) 459-3373
Mailing address
PO Box 4355
Cordova, TN 38088-4355
Other practice locations
- 1076 Chambliss Rd, Memphis, TN 38116-6381 · (901) 396-8470
- 1250 Farrow Rd, Memphis, TN 38116-7116 · (901) 332-7290
- 1669 Stable Run Dr, Cordova, TN 38016-7624 · (901) 736-6722
- 9684 Goodman Rd, Olive Branch, MS 38654-1726 · (662) 895-7616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | APN14184 (TN) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | APN14184 (TN) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Other psychiatric/mental health registered nurse providers in Memphis
About NPI 1467723486
Longevity Medical LLC's National Provider Identifier is 1467723486, issued on Jan 23, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Memphis, TN. The record was last updated on Mar 11, 2021.