Individual
ALEXA KAITLYN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11630 HIGHWAY 51 S, ATOKA, TN 38004-7129
(901) 837-5020
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(901) 837-5020
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
214892
TN
363LF0000X
Family Nurse Practitioner
Primary
29848
TN
Other
Enumeration date
04/17/2021
Last updated
11/16/2021
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