Individual
GINA MARIE LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
7600 WOLF RIVER BLVD, SUITE 220, GERMANTOWN, TN 38138-1785
(901) 755-5300
(901) 756-0196
Mailing address
8001 CENTERVIEW PKWY, SUITE 202, CORDOVA, TN 38018-4228
(901) 755-5300
(901) 753-9659
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A810264
MS
363L00000X
Nurse Practitioner
Primary
APN13456
TN
363LP0200X
Pediatric Nurse Practitioner
A810264
MS
363LP0200X
Pediatric Nurse Practitioner
APN13456
TN
Other
Enumeration date
07/28/2008
Last updated
11/07/2016
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