Individual
MISS ANDREA SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N DUNLAP ST, MEMPHIS, TN 38105-4625
(901) 448-2000
Mailing address
51 N DUNLAP ST, MEMPHIS, TN 38105-4625
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18828
TN
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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