Individual
MISS AMY NICOLE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
57 AUBURNDALE CV, JACKSON, TN 38305-8003
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN0000256816
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R60071902
BLUE CROSS BLUE SHIELD
TN
Enumeration date
03/14/2022
Last updated
03/14/2022
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