Organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A KEEL (CFO)
(901) 595-1018
Entity
Organization
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PLACE, MS 0515, MEMPHIS, TN 38105-3678
(901) 595-6863
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
122300000X
Dentist
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/08/2018
Last updated
09/10/2024
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