Individual
DARA MADELINE NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, APRN
Contact information
Practice address
6029 WALNUT GROVE RD STE 209, MEMPHIS, TN 38120-2112
(901) 681-0778
(901) 821-9987
Mailing address
6027 WALNUT GROVE RD STE 312, MEMPHIS, TN 38120-2128
(901) 681-0778
(901) 821-9987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22883
TN
363L00000X
Nurse Practitioner
60810803
WA
363LF0000X
Family Nurse Practitioner
904315
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001177279
—
MS
05
—
Q059580
—
TN
Enumeration date
08/15/2017
Last updated
01/24/2023
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