Individual
MS. SUSIE Q. BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
66 N. PAULINE STREET, SUITE 101, MEMPHIS, TN 38105
(901) 448-6936
(901) 448-7692
Mailing address
50 N. DUNLAP STREET, LEBONHEUR CHILDREN'S MEDICAL CENTER, MEMPHIS, TN 38103
(901) 287-4825
(901) 287-4845
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
6056
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02475341
—
MS
Enumeration date
02/27/2008
Last updated
09/21/2020
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