Individual
ALISE TONIA KEEL-PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 COVINGTON PIKE STE 200, MEMPHIS, TN 38128-5048
(901) 266-8760
Mailing address
3030 COVINGTON PIKE STE 200, MEMPHIS, TN 38128-5048
(901) 266-8760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2025038902
TN
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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