Revive Ketamine Clinic, Pllc
NPI #1053984484 in Bartlett, Tennessee
Provider Information
- NPI Number
- 1053984484
- Entity Type
- Organization
- Organization Name
- Revive Ketamine Clinic, Pllc
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jul 22, 2021
- Last Updated
- Apr 15, 2024
Practice Location
Authorized Official
- Name
- DR. GINGER WILLIAMS, DNP, CRNA
- Title
- OWNER/PRACTITIONER
- Phone
- (901) 317-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Clinic/Center - Medical Specialty — Medical Specialty |
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