Individual
MS. PATRICE OWENS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
116 N PAULINE ST, MEMPHIS, TN 38104-1005
(901) 523-8990
Mailing address
3615 HERMITAGE DR, MEMPHIS, TN 38116-4351
(901) 314-4294
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91982
TN
363L00000X
Nurse Practitioner
Primary
12814
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341226
—
TN
Enumeration date
03/06/2007
Last updated
09/11/2025
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