Individual
MS. ALICE HANNIFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2569 DOUGLASS AVE, MEMPHIS, TN 38114-2532
(901) 701-2550
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 260-8500
(901) 260-8598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17991
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q003427
—
TN
Enumeration date
12/19/2013
Last updated
03/30/2016
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