Organization
PENTACARE HEALTH SERVICES
Active
Organization
PENTACARE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA OIGBOKIE DNP, APRN, FNP-C (OWNER)
(901) 569-0208
Entity
Organization
Contact information
Practice address
10441 EMMAS CIR S, COLLIERVILLE, TN 38017-4186
(901) 490-6211
Mailing address
10441 EMMAS CIR S, COLLIERVILLE, TN 38017-4186
(901) 490-6211
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033765730
CMS
TN
01
—
1093247801
CMS
TN
Enumeration date
03/13/2023
Last updated
03/13/2023
Update your record
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