Individual
JERI POWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
853 JEFFERSON AVE # E206, MEMPHIS, TN 38103-2804
(901) 448-6728
(901) 302-2495
Mailing address
3535 POPLAR AVE APT 7, MEMPHIS, TN 38111-6077
(501) 339-8661
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
30093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30093
STATE OF TN LICENSE
TN
Enumeration date
09/13/2021
Last updated
09/13/2021
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