Individual
MRS. LAUREN ELIZABETH GHETTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 515-3700
Mailing address
3415 SHILOH LN, SOUTHAVEN, MS 38672-6045
(901) 334-6709
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28110
TN
363L00000X
Nurse Practitioner
Primary
BOON-63OKMA
MS
Other
Enumeration date
07/21/2020
Last updated
08/02/2022
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