Individual
ALLYSON ESCOTT DORMOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 FLICKER ST, MEMPHIS, TN 38104-5928
(901) 871-9080
Mailing address
7118 BELL MANOR CV, GERMANTOWN, TN 38138-1900
(901) 871-9080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27823
TN
Other
Enumeration date
09/09/2020
Last updated
09/14/2020
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