WELL CHILD NPI 1275887580

NPI Information

  • NPI: 1275887580
  • Provider Name: WELL CHILD
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 650 NEW YORK ST
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 728-5858

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NPI Details

WELL CHILD is a family nurse practitioner in Memphis, TN. WELL CHILD NPI is 1275887580. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

650 NEW YORK ST
MEMPHIS, TN
ZIP 38104-536
Phone: (901) 728-5858
Fax: (901) 274-5858

The provider's authorized official is Lakisha A Mcdaniel .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (870) 739-8631.

The enumeration date for this NPI number is 11/8/2012 and was last updated on 11/8/2012.

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
1363LF0000XNurse PractitionerFamily17083TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F0812574OTHERTENNESSEEBOARD CERTIFIED
217083OTHERTENNESSEEFAMILY NURSE PRACTITIONER

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: 11/21/2025

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