Organization
PPH MEDICAL OF TN, INC DBA
Active
Other names
Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA PARSON NP (CEO)
(901) 681-2700
Entity
Organization
Contact information
Practice address
4515 POPLAR AVE, STE 507, MEMPHIS, TN 38117-7503
(901) 681-2700
Mailing address
4515 POPLAR AVE, SUITE 131, MEMPHIS, TN 38117
(901) 681-2700
(901) 681-2702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/23/2015
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