Individual
MARY BEDWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1362 MISSISSIPPI BLVD, MEMPHIS, TN 38106-4709
(901) 515-5700
(901) 942-2002
Mailing address
877 JEFFERSON AVE, 5TH FLOOR ADAMS PAVILION, MEMPHIS, TN 38103-2807
(901) 515-5700
(901) 942-2002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6199
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3903771
—
TN
Enumeration date
09/14/2005
Last updated
07/08/2007
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