Individual
MRS. KATHY JOANN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
853 W POPLAR AVE, COLLIERVILLE, TN 38017-2545
(901) 850-8351
(901) 266-4061
Mailing address
779 W POWELL RD, COLLIERVILLE, TN 38017-1346
(901) 550-8167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17085
TN
363L00000X
Nurse Practitioner
810540
MS
363LF0000X
Family Nurse Practitioner
1-054361
AL
363LF0000X
Family Nurse Practitioner
78418
TN
Other
Enumeration date
10/18/2012
Last updated
02/15/2024
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