Well Child

NPI #1275887580 in Memphis, Tennessee

Provider Information

NPI Number
1275887580
Entity Type
Organization
Organization Name
Well Child
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 8, 2012
Last Updated
Nov 8, 2012

Practice Location

Address
650 NEW YORK ST
ZIP Code
38104-5536
Phone
(901) 728-5858

Authorized Official

Name
LAKISHA A MCDANIEL
Title
FAMILY NURSE PRACTITIONER
Phone
(870) 739-8631

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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