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Individual

ELLA RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
869 WINTER LEAF DR, CORDOVA, TN 38018-7967
(901) 830-3372
Mailing address
869 WINTER LEAF DRIVE, CORDOVA, TN 38018
(901) 830-3372

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22646
TN
363LF0000X
Family Nurse Practitioner
22646
TN

Other

Enumeration date
05/10/2017
Last updated
01/09/2023
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