VICKIE LYNN PORTER

MEMPHIS, TN
NPI1972842888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  APN0000016856)
Enumeration Date2013-02-13
Last Update Date2013-02-13
Business Address
-- VICKIE LYNN PORTER NP
6100 PRIMACY PKWY STE 112
MEMPHIS, TN 38119-0705
Phone number: 901-682-5335
Mailing Address
-- VICKIE LYNN PORTER NP
6001 RUST RD
MEMPHIS, TN 38127-1911
Phone number: 901-353-0266
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