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Individual

JEFFREY E BANHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2589 APPLING RD STE 101, MEMPHIS, TN 38133-5099
(901) 752-2300
(901) 249-8871
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22959
TN

Other

Enumeration date
08/07/2017
Last updated
04/22/2025
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