Individual
MRS. DEANIE EILEE WADE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-C
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 516-5741
(901) 516-5986
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19158
TN
Other
Enumeration date
08/02/2014
Last updated
06/02/2025
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