Individual provider · Type 1 NPI
Rebecca Lynn Waldon, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Memphis, TN
NPI number
1689630170
Active
Practice location
1030 Jefferson Ave
Memphis, TN 38104-2127
Mailing address
1960 N Parkway, #109
Memphis, TN 38112-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000005904 (TN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | APN0000005904 (TN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1689630170
Rebecca Lynn Waldon, NURSE PRACTITIONER's National Provider Identifier is 1689630170, issued on Apr 24, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Memphis, TN. The record was last updated on Jul 13, 2026.