Individual
MRS. KATRINA LYNN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
6027 WALNUT GROVE RD STE 312, MEMPHIS, TN 38120-2128
(901) 681-0778
Mailing address
136 MOCKINGBIRD LN, RIPLEY, MS 38663-1143
(662) 587-0326
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
902438
MS
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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