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Family Nurse Practitioner · Memphis, TN

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At a glance

5347 Dunnellon Ave, Memphis, TN 38134-5305

NPPES record updated Aug 8, 2016. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

5347 Dunnellon Ave
Memphis, TN 38134-5305

Professional details: NPI, taxonomy & registry record

NPI1265986210

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Registry details

Primary taxonomy: Family Nurse Practitioner
Taxonomy code: 363LF0000X
Enumeration date: Aug 8, 2016
Record updated: Aug 8, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Nurse Practitioner

363LF0000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5347 Dunnellon Ave
Memphis, TN 38134-5305

Phone: (901) 210-8966

Mailing address

5347 DUNNELLON AVE

MEMPHIS, TN 381345305

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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