Individual
SOPHIA RUNER FOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105
(901) 598-0645
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
22022
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
22022
TN
Other
Enumeration date
01/24/2017
Last updated
07/30/2018
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