Individual
AMY M MCLENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5131 QUINCE RD, MEMPHIS, TN 38117-6846
(901) 701-1888
(901) 701-1136
Mailing address
5131 QUINCE RD, MEMPHIS, TN 38117-6846
(901) 701-1888
(901) 701-1136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28777
TN
363LF0000X
Family Nurse Practitioner
903297
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
903297
MISSISSIPPI BOARD OF NURSING
MS
Enumeration date
12/07/2018
Last updated
03/24/2023
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