Individual
ALICIA BROOKE YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7362 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4773
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16242
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526849
—
TN
Enumeration date
11/03/2011
Last updated
11/17/2017
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