Individual
JOSHUA J FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-BC
Contact information
Practice address
262 DANNY THOMAS PLACE, SOLID TUMOR CLINIC, MEMPHIS, TN 38105
(901) 595-3300
Mailing address
1384 HARBOR PARK DR, MEMPHIS, TN 38103-9031
(318) 372-8676
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
24017
TN
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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