JERMAINE SHORTER NPI 1063009645

NPI Information

NPI: 1063009645
Provider Name: JERMAINE SHORTER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1355 LYNNFIELD ROAD
STE. 270
MEMPHIS, TN
ZIP 38119
Phone: (901) 568-6397
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Jermaine Shorter is a mental health counselor in Memphis, TN. Jermaine Shorter NPI is 1063009645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1355 LYNNFIELD ROAD
STE. 270
MEMPHIS, TN
ZIP 38119
Phone: (901) 568-6397

The enumeration date for this NPI number is 12/29/2020 and was last updated on 10/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	5134	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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