Individual
KABREASHIA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6222 E SHELBY DR, MEMPHIS, TN 38141-7735
(901) 878-3274
(901) 205-1980
Mailing address
6222 E SHELBY DR, MEMPHIS, TN 38141-7735
(901) 878-3274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35216
TN
363LF0000X
Family Nurse Practitioner
906348
MS
Other
Enumeration date
10/23/2023
Last updated
12/12/2024
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