Individual
MRS. TAMARA M. PELLEGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
853 JEFFERSON AVE, SUITE 201, MEMPHIS, TN 38103-2807
(901) 448-4750
Mailing address
1871 MIGNON AVE, MEMPHIS, TN 38107-5116
(901) 725-5939
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APN0000005908
TN
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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