Individual
JADE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3381 POPLAR AVE, MEMPHIS, TN 38111-4601
(901) 458-8559
Mailing address
3381 POPLAR AVE, MEMPHIS, TN 38111-4601
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
45178
TN
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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