Individual
CAROL ANNETTE HUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
9830 REDWOOD RD, MEMPHIS, TN 38120-2146
(901) 829-4999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5593
TN
363L00000X
Nurse Practitioner
A01900
AR
363L00000X
Nurse Practitioner
A810154
MS
Other
Enumeration date
07/19/2006
Last updated
04/17/2008
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