Individual
BIANCA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12173 MAIN ST STE B, MASON, TN 38049-7067
(901) 403-8432
Mailing address
6000 POPLAR AVE, MEMPHIS, TN 38119-3981
(901) 606-4634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
41971
TN
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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