Individual
JESSICA ANNE LASIOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-2362
(901) 516-8254
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
25279
TN
363LA2100X
Acute Care Nurse Practitioner
RN220840
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NA
—
Enumeration date
03/06/2019
Last updated
05/28/2025
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