Individual
DOMECIA NEWMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-BC
Contact information
Practice address
6084 APPLE TREE DR STE 11, MEMPHIS, TN 38115-0305
(901) 779-6500
(901) 779-6555
Mailing address
6084 APPLE TREE DR STE 11, MEMPHIS, TN 38115-0305
(901) 779-6500
(901) 779-6555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
21632
TN
363LF0000X
Family Nurse Practitioner
Primary
21632
TN
363LF0000X
Family Nurse Practitioner
901785
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037190
—
TN
Enumeration date
11/08/2016
Last updated
12/06/2021
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