Individual provider · Type 1 NPI
Tekoa Rose, NP
Family Nurse Practitioner · Memphis, TN
NPI number
1508452202
Active
Practice location
3206 Poplar Ave
Memphis, TN 38111-3502
Mailing address
8750 Wood Thrush Dr
Olive Branch, MS 38654-2028
Other practice locations
- 8750 Wood Thrush Dr, Olive Branch, MS 38654-2028 · (901) 482-1659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 908286 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | 28906 (TN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1508452202
Tekoa Rose, NP's National Provider Identifier is 1508452202, issued on Dec 16, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Apr 11, 2023.