Individual
CLAIRE C ELLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
7655 POPLAR AVE STE 240, GERMANTOWN, TN 38138-3957
(901) 758-7970
(901) 266-6425
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1314
TN
363A00000X
Physician Assistant
PA-305
AR
363A00000X
Physician Assistant
PA00176
MS
363AS0400X
Surgical Physician Assistant
Primary
1314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08010016600
QUAL CHOICE
AR
05
—
1523137
—
TN
01
—
P00426098
RAILROAD MEDICARE
AR
01
—
P01204970
RR MEDICARE TN
TN
Enumeration date
08/19/2006
Last updated
02/20/2025
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