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ICP TENNESSEE ACO BILLING LLC NPI 1174107338


NPI Information

NPI: 1174107338
Provider Name: ICP TENNESSEE ACO BILLING LLC
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Organization
Address:
5100 POPLAR AVE STE 2700
MEMPHIS, TN
ZIP 38137
Phone: (855) 498-6767
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ICP TENNESSEE ACO BILLING LLC is a clinical nurse specialist in Memphis, TN. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. ICP TENNESSEE ACO BILLING LLC NPI is 1174107338. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5100 POPLAR AVE STE 2700
MEMPHIS, TN
ZIP 38137-700
Phone: (855) 498-6767
Fax: (479) 968-1673

The provider's authorized official is Rodney Thomason .
The authorized official title is Authorized Official and has the following contact phone number (501) 406-6180.

The enumeration date for this NPI number is 5/12/2021 and was last updated on 5/12/2021.


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
1364S00000XClinical Nurse SpecialistYes

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: 11/14/2023

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.