Individual
MS. MARY KATHRYN VESCOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3362 S. THIRD STREET, CHRIST COMMUNITY HEALTH SERVICE INC, MEMPHIS, TN 38109
(901) 271-6300
(901) 260-8590
Mailing address
2595 CENTRAL AVENUE, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38104
(901) 260-8500
(901) 260-8590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14448
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512954
—
TN
Enumeration date
02/26/2009
Last updated
01/20/2011
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