Individual provider · Type 1 NPI

Madison Brooke Faulkner

Physician Assistant · Memphis, TN

NPI number 1790678829 Active

Practice location

262 Danny Thomas Pl
Memphis, TN 38105-3678

Mailing address

1349 Heritage Dr S
Hernando, MS 38632-6975

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6763 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1790678829

Madison Brooke Faulkner's National Provider Identifier is 1790678829, issued on May 29, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Memphis, TN. The record was last updated on Nov 11, 2025.