WELL CHILD OF GEORGIA PLLC NPI 1740655158

NPI Information

NPI: 1740655158
Provider Name: WELL CHILD OF GEORGIA, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
650 NEW YORK ST
MEMPHIS, TN
ZIP 38104
Phone: (901) 728-5858
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WELL CHILD OF GEORGIA, PLLC is a family nurse practitioner in Memphis, TN. WELL CHILD OF GEORGIA, PLLC NPI is 1740655158. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

650 NEW YORK ST
MEMPHIS, TN
ZIP 38104-536
Phone: (901) 728-5858
Fax: (901) 531-6312

The provider's authorized official is Karen J Pease .
The authorized official title is Ceo and has the following contact phone number (901) 728-5858.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/10/2015.

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	Primary
1	152W00000X	Optometrist		No
2	174400000X	Specialist		No
3	122300000X	Dentist		No
4	207Q00000X	Family Medicine		No
5	363LF0000X	Nurse Practitioner	Family	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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