Individual
MRS. CARLA SUE KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ACNP FNP
Contact information
Practice address
5959 PARK AVE, ST. FRANCIS ER, MEMPHIS, TN 38119-5200
(901) 765-2182
Mailing address
5959 PARK AVE, ST. FRANCIS ER, MEMPHIS, TN 38119-5200
(901) 765-2182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000005874
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221280
UNITED HEALTH CARE
TN
Enumeration date
09/01/2006
Last updated
12/02/2009
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