Individual
SALLY STEVENS HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2188 E GLENALDEN DR, GERMANTOWN, TN 38139-5451
(901) 299-5722
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10680
TN
Other
Enumeration date
08/31/2006
Last updated
03/19/2024
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