Individual
MRS. JACQUELINE FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4250 FARONIA RD STE 2A, MEMPHIS, TN 38116-6250
(901) 236-7707
(901) 236-7865
Mailing address
4250 FARONIA RD STE 2A, MEMPHIS, TN 38116-6250
(901) 236-7707
(901) 236-7865
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0000015191
TN
Other
Enumeration date
01/12/2008
Last updated
07/07/2023
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