Individual
GWENDOLYN FELICIA WALLER-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
245 MADISON AVE, MEMPHIS, TN 38103-2731
(901) 519-2380
(901) 664-0619
Mailing address
245 MADISON AVE LOWR LEVEL, MEMPHIS, TN 38103-2731
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33982
TN
Other
Enumeration date
05/24/2023
Last updated
08/13/2025
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