Individual
CHANNIEN LANET ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5180 PARK AVE STE 250, MEMPHIS, TN 38119-3535
(731) 432-9812
Mailing address
5180 PARK AVE STE 250, MEMPHIS, TN 38119-3535
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
60575983
WA
363LF0000X
Family Nurse Practitioner
Primary
F03200318
TN
Other
Enumeration date
08/14/2018
Last updated
03/23/2020
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