Individual
RAVEN MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
(901) 595-3300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0000000
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
27638
TN
Other
Enumeration date
11/28/2018
Last updated
06/05/2025
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