Individual
WYNNE DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
80 HUMPHREYS CENTER DR STE 106, MEMPHIS, TN 38120-2352
(901) 455-7440
Mailing address
2761 IROQUOIS RD, MEMPHIS, TN 38111-2015
(615) 424-5412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
186324
TN
363L00000X
Nurse Practitioner
Primary
30352
TN
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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