Individual
MS. LATONYA IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 N DUNLAP ST FL 4, MEMPHIS, TN 38103-2800
(901) 287-6474
Mailing address
49 N DUNLAP ST STE 125, MEMPHIS, TN 38103-2802
(901) 287-6474
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R089209
AR
163WD0400X
Diabetes Educator Registered Nurse
R089209
AR
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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