Individual
JOHANNA MARIE BIEBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2861 BROAD AVE, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38112-2903
(901) 260-8450
(901) 260-8590
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 260-8551
(901) 260-8590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
118463
TN
363LF0000X
Family Nurse Practitioner
Primary
7712
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016497
—
LA
Enumeration date
06/24/2006
Last updated
03/07/2023
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