Tennessee In-Home Partner-Iv, LLC

NPI #1831702224 in Memphis, Tennessee

Provider Information

NPI Number: 1831702224
Entity Type: Organization
Organization Name: Tennessee In-Home Partner-Iv, LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Aug 26, 2020
Last Updated: Jul 3, 2024

Practice Location

Address: SUMNER MEDICAL PLAZA
Address 2: 300 STEAM PLANT ROAD, SUITE 220
City: Memphis
State: Tennessee
ZIP Code: 37066-3032
Phone: (615) 328-6690

Authorized Official

Name: JOSHUA L PROFFITT
Title: PRESIDENT
Phone: (337) 233-1307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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