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Individual

MR. JEFFERY MORGAN BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN FNP

Contact information

Practice address
6655 POPLAR AVE STE 204, MEMPHIS, TN 38138-0643
(901) 751-4477
(901) 751-4479
Mailing address
6655 POPLAR AVE STE 204, GERMANTOWN, TN 38138-0643
(901) 751-4477
(901) 751-4479

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7570
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000043225
TLC
TN
Enumeration date
03/06/2006
Last updated
06/28/2023
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