SHOT NURSE-MEMPHIS P.C. NPI 1275941106

NPI Information

  • NPI: 1275941106
  • Provider Name: SHOT NURSE-MEMPHIS, P.C.
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Doing Business As: THE SHOT NURSE
  • CLIA Number: 44D1069781
  • Address: 714 N GERMANTOWN PKWY
    SUITE 11
    CORDOVA, TN
    ZIP 38018
  • Phone: (901) 685-9999

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NPI Details

SHOT NURSE-MEMPHIS, P.C. is a community health clinic center in Cordova, TN. SHOT NURSE-MEMPHIS, P.C. NPI is 1275941106. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Shot Nurse.

The provider's business location address is:

714 N GERMANTOWN PKWY
SUITE 11
CORDOVA, TN
ZIP 38018-280
Phone: (901) 685-9999

The provider's authorized official is Deborah Overall .
The authorized official title is Vice-president and has the following contact phone number (901) 685-9999.

The CLIA number assigned to this NPI record is 44D1069781 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2014 and was last updated on 7/24/2014.

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
1174400000XSpecialistNo
2261QC1500XClinic/CenterCommunity HealthYes

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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