SELENE INTEGRATIVE CARE PLLC NPI 1336726827

NPI Information

NPI: 1336726827
Provider Name: SELENE INTEGRATIVE CARE PLLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
109 W DEMPSTER AVE
MEMPHIS, TN
ZIP 38109
Phone: (901) 361-6822
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SELENE INTEGRATIVE CARE PLLC is a primary care nurse practitioner in Memphis, TN. SELENE INTEGRATIVE CARE PLLC NPI is 1336726827. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 W DEMPSTER AVE
MEMPHIS, TN
ZIP 38109
Phone: (901) 361-6822

The provider's authorized official is Adrienne Jackson .
The authorized official title is Nurse Practitioner/ Owner and has the following contact phone number (901) 361-6822.

The enumeration date for this NPI number is 3/29/2021 and was last updated on 3/29/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171100000X	Acupuncturist		No
2	261QH0100X	Clinic/Center	Health Service	No
3	363LP2300X	Nurse Practitioner	Primary Care	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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