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CORE ESSENTIALS PRIMARY CARE CLINIC LLC NPI 1457932691


NPI Information

NPI: 1457932691
Provider Name: CORE ESSENTIALS PRIMARY CARE CLINIC LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1264 WESLEY DR STE 601
MEMPHIS, TN
ZIP 38116
Phone: (901) 587-5050
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CORE ESSENTIALS PRIMARY CARE CLINIC LLC is a primary care nurse practitioner in Memphis, TN. CORE ESSENTIALS PRIMARY CARE CLINIC LLC NPI is 1457932691. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1264 WESLEY DR STE 601
MEMPHIS, TN
ZIP 38116-459
Phone: (901) 587-5050
Fax: (901) 730-8985

The provider's authorized official is Janet Walker .
The authorized official title is Owner, Auth Individual and has the following contact phone number (901) 587-5050.

The enumeration date for this NPI number is 4/19/2021 and was last updated on 6/7/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP2300XNurse PractitionerPrimary CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.