Individual
MRS. JANE GENETTE SLATERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1210 PEABODY AVE, MEMPHIS, TN 38104-4506
(901) 272-0003
Mailing address
123 CHERRY RD, MEMPHIS, TN 38117-3101
(901) 230-1874
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
APN15810
TN
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN64840
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN15810
APN LICENSE
TN
Enumeration date
08/13/2013
Last updated
08/13/2013
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