Individual
CHARONDA LYNNICE PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2430 POPLAR AVE STE 100, MEMPHIS, TN 38112-3246
(866) 711-1717
(901) 339-6509
Mailing address
4613 JACOB LN, SOUTHAVEN, MS 38672-6408
(310) 648-4343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20733
TN
Other
Enumeration date
12/18/2007
Last updated
06/25/2025
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