Individual
JOHN H POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
80 HUMPHREYS CENTER DR STE 330, STE 300, MEMPHIS, TN 38120-2363
(901) 752-6131
(901) 752-6167
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7041
TN
363LF0000X
Family Nurse Practitioner
810081
MS
363LF0000X
Family Nurse Practitioner
A001321
AR
Other
Enumeration date
07/28/2005
Last updated
06/22/2021
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