Individual
MIKAELE RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
6625 LENOX PARK DR STE 101, MEMPHIS, TN 38115-4397
(901) 683-0024
Mailing address
6063 MT MORIAH RD EXT, MEMPHIS, TN 38115-2757
(901) 531-8800
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
34864
TN
Other
Enumeration date
10/13/2023
Last updated
04/26/2024
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