Individual
CODY ELIZABETH MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
3588 CHARLESWOOD AVE, MEMPHIS, TN 38122-4506
(901) 237-6390
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
25638
TN
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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