Individual
TINA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2540 VAN EATON LN, MEMPHIS, TN 38133-5147
(901) 826-7463
Mailing address
2540 VAN EATON LN, MEMPHIS, TN 38133-5147
(901) 826-7463
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN0000196779
TN
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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