MR. CLYDE H ELDER APRNBC NPI 1649288424

NPI Information

  • NPI: 1649288424
  • Provider Name: MR. CLYDE H ELDER, APRN,BC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 3461 AUSTIN PEAY HWY
    MEMPHIS, TN
    ZIP 38128
  • Phone: (901) 261-4500

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NPI Details

MR. Clyde H Elder, APRN,BC is a primary care nurse practitioner in Memphis, TN. MR. Clyde H Elder, APRN,BC NPI is 1649288424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3461 AUSTIN PEAY HWY
MEMPHIS, TN
ZIP 38128-801
Phone: (901) 261-4500
Fax: (901) 261-4511

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/8/2007.

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
1363LP2300XNurse PractitionerPrimary CareRN0000048298TENNESSEEYes

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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