Individual
ALLYN NOELLE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 HUMPHREYS CENTER DR STE 100, MEMPHIS, TN 38120-2352
(901) 761-9030
(901) 761-9591
Mailing address
PO BOX 1000 DEPT 245, MEMPHIS, TN 38148-0001
(901) 761-9030
(901) 761-9591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 814
AL
363AS0400X
Surgical Physician Assistant
Primary
10001395A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000779998
ANTHEM PROVIDER NUMBER
IN
01
—
2555
TN MEDICAL LICENSE
TN
01
—
PA 814
STATE BOARD OF MEDICAL EXAMINERS
AL
Enumeration date
02/09/2012
Last updated
09/10/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us