Individual provider · Type 1 NPI
Charonda Lynnice Phifer, FNP
Nurse Practitioner · Memphis, TN
Practice location
2430 Poplar Ave Ste 100
Memphis, TN 38112-3246
Fax (901) 339-6509
Mailing address
4613 Jacob Ln
Southaven, MS 38672-6408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 20733 (TN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1922282573
Charonda Lynnice Phifer, FNP's National Provider Identifier is 1922282573, issued on Dec 18, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Memphis, TN. The record was last updated on Jun 25, 2025.