Individual provider · Type 1 NPI
Lideaderick Lamar Gregory, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Memphis, TN
NPI number
1720859762
Active
Practice location
3030 Covington Pike Ste 200
Memphis, TN 38128-5048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 40177 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1720859762
Lideaderick Lamar Gregory, PMHNP's National Provider Identifier is 1720859762, issued on Jan 9, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Memphis, TN. The record was last updated on Aug 24, 2026.