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Individual

YOLANDA M WINFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7460 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1760
(901) 763-0200
(901) 761-4002
Mailing address
PO BOX 1000, DEPT 960, MEMPHIS, TN 38148-0001
(901) 763-0200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13158
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07558585
MS
05
1519976
TN
05
185017758
AR
01
4270365
BCBST
TN
01
P00854029
MEDICARE RAILROAD
TN
Enumeration date
01/03/2008
Last updated
02/07/2017
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