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Individual

JENNA BERRYHILL RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
6025 WALNUT GROVE RD STE 508, MEMPHIS, TN 38120-2125
(901) 767-5864
(901) 767-6591
Mailing address
5840 MACLEOD DR, MEMPHIS, TN 38119-7327
(662) 316-7516

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
28936
TN
363LA2100X
Acute Care Nurse Practitioner
904624
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q064870
TN
Enumeration date
03/10/2021
Last updated
03/24/2026
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