Individual
MRS. BRIANNA MEGAN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
848 ADAMS AVE., STE. L400, MEMPHIS, TN 38103
(901) 287-7337
(901) 287-4540
Mailing address
850 POPLAR AVE., BLDG. 2, MEMPHIS, TN 38105
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
PENDING
TN
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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