Individual
DR. SORAYA GHELICHKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
283 ALEXANDER ST, MEMPHIS, TN 38111-4507
(901) 628-7441
Mailing address
283 ALEXANDER ST, MEMPHIS, TN 38111-4507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201171
TN
363L00000X
Nurse Practitioner
24802
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
24802
TN
Other
Enumeration date
06/22/2020
Last updated
12/08/2021
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