Individual
REGINA ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 HAYNES ST, MEMPHIS, TN 38114-3374
(901) 515-5200
(901) 323-6807
Mailing address
877 JEFFERSON AVE, 5TH FLOOR ADAMS PAVILION, MEMPHIS, TN 38103-2807
(901) 515-4529
(901) 272-0292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 89402
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3903799
—
TN
Enumeration date
12/21/2005
Last updated
07/08/2007
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