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Individual

ANGELA LEE MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
1350 CONCOURSE AVE STE 363, MEMPHIS, TN 38104-2023
(901) 260-6161
(901) 260-6162
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(828) 232-1955
(828) 232-0329

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27470
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27470
STATE OF TN
TN
01
T16822B
PALMETTO GBA
TN
Enumeration date
08/10/2015
Last updated
05/26/2022
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