Individual
EKINADOESE OSAGHAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1222 CHERRY RIDGE CV, CORDOVA, TN 38018-0133
(901) 210-2366
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
33969
TN
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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