Individual
QUANESHIA R FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
7685 WINCHESTER RD STE 100, MEMPHIS, TN 38125
(901) 752-6963
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
173845
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
17471
TN
Other
Enumeration date
04/03/2013
Last updated
10/21/2019
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