Individual
ELIANA RAQUEL FAUSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3030 COVINGTON PIKE STE 200, MEMPHIS, TN 38128-5048
(901) 266-8760
(901) 295-1375
Mailing address
2794 N STAR DR, BARTLETT, TN 38134-4712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5843
TN
Other
Enumeration date
07/01/2022
Last updated
04/27/2026
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