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Individual

CARLA LONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7101
TN
363LF0000X
Family Nurse Practitioner
Primary
7101
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161276758
AR
05
200091420A
OK
05
3908965
TN
05
421328709
MO
05
5440878
TN
01
84118
BCBS AR
AR
Enumeration date
09/14/2005
Last updated
01/23/2025
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