Individual
AYISHIA KEVETA LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5277 INTEGRITY DR, BLDG S771, MILLINGTON, TN 38054
(901) 874-6100
Mailing address
50 CAMI CV, SOMERVILLE, TN 38068-6092
(901) 825-7408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17329
TN
363LF0000X
Family Nurse Practitioner
2354
TX
363LF0000X
Family Nurse Practitioner
RN230297
GA
Other
Enumeration date
05/13/2013
Last updated
09/23/2022
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