Individual
MS. ANN REGINA FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
3574 KINGS ARMS COVE, MEMPHIS, TN 38115
(901) 565-7454
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
200600795922
TN
Other
Enumeration date
08/24/2009
Last updated
09/09/2009
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