Individual
TARA CALICO CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
360 E EH CRUMP BLVD, MEMPHIS, TN 38126-5310
(901) 261-2025
(901) 946-9262
Mailing address
4531 KINGSBROOK RD, MEMPHIS, TN 38117-5417
(901) 301-1809
(901) 946-9262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
13580
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10904
AZ
Other
Enumeration date
09/25/2008
Last updated
02/17/2020
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