Individual
GINA MARIE LUCCHESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
7600 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1785
(901) 755-5300
Mailing address
PO BOX 2757, CORDOVA, TN 38088-2757
(901) 287-1887
(901) 755-5300
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
21734
TN
207Y00000X
Otolaryngology Physician
21734
TN
363LF0000X
Family Nurse Practitioner
Primary
21734
TN
Other
Enumeration date
01/28/2022
Last updated
03/03/2022
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