Individual
STEPHANIE ANN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1533 UNION AVE, MEMPHIS, TN 38104-3726
(901) 721-1200
(901) 721-1212
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36860
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520957
—
TN
01
—
4334460
BCBS
TN
Enumeration date
04/25/2006
Last updated
05/05/2025
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