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MEMPHIS, TN
NPI1659121739
Entity TypeOrganization
Authorized ContactJANICE BROOKS
Owner
901-212-4718
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-03-25
Last Update Date2024-05-04
Business Address
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4929 VERNE RD
MEMPHIS, TN 38117-6611
Phone number: 901-205-9086
Mailing Address
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4728 SPOTTSWOOD AVE STE 161
MEMPHIS, TN 38117-4817
Phone number: 901-205-9086