Individual
MRS. EMILY SHIPMAN LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 UNION AVE STE 400, MEMPHIS, TN 38104-6656
(901) 478-0650
(901) 726-4237
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2832
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q032007
—
TN
Enumeration date
08/26/2015
Last updated
11/19/2024
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