Individual
ADELINE NEZIFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3718 ROUND ROCK CV APT 308, MEMPHIS, TN 38125-4061
(561) 563-9565
Mailing address
3718 ROUND ROCK CV APT 308, MEMPHIS, TN 38125-4061
(561) 563-9565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
00000256686
TN
363LF0000X
Family Nurse Practitioner
11000883
FL
363LF0000X
Family Nurse Practitioner
Primary
APN0000025668
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000025668
ADVANCED PRACTICE REGISTERED NURSE
TN
01
—
11000883
BOARD OF NURSING
FL
Enumeration date
04/20/2019
Last updated
04/20/2019
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