Individual
REBECCA LYNN WALDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1960 N PARKWAY, #109, MEMPHIS, TN 38112-5002
(901) 276-5784
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN0000005904
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
APN0000005904
TN
Other
Enumeration date
04/24/2006
Last updated
09/11/2025
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