CARPENTER PRIMARY HEALTHCARE PLLC NPI 1770971533

NPI Information

NPI: 1770971533
Provider Name: CARPENTER PRIMARY HEALTHCARE, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D2089371

Address:
1251 WESLEY DR
SUITE 104
MEMPHIS, TN
ZIP 38116
Phone: (901) 348-6426
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CARPENTER PRIMARY HEALTHCARE, PLLC is a family nurse practitioner in Memphis, TN. CARPENTER PRIMARY HEALTHCARE, PLLC NPI is 1770971533. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1251 WESLEY DR
SUITE 104
MEMPHIS, TN
ZIP 38116-442
Phone: (901) 348-6426

The provider's authorized official is Kenneth Andre Carpenter .
The authorized official title is Chief Operating Officer and has the following contact phone number (901) 463-0105.

The CLIA number assigned to this NPI record is 44D2089371 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2015 and was last updated on 8/22/2023.

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	363LF0000X	Nurse Practitioner	Family	6284	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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