Individual provider · Type 1 NPI

Clyde H. Elder Jr., APRN, BC

Primary Care Nurse Practitioner · Memphis, TN

NPI number 1649288424 Active

Practice location

3461 Austin Peay Hwy
Memphis, TN 38128-3801

Fax (901) 261-4511

Mailing address

6785 Ricks Rd
Arlington, TN 38002-6907

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XRN0000048298 (TN)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1649288424

Clyde H. Elder Jr., APRN, BC's National Provider Identifier is 1649288424, issued on Aug 4, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.