Organization
GENTLEEAR GERIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LUCKETT FNP (PROVIDER)
(662) 253-8543
Entity
Organization
Contact information
Practice address
2552 POPLAR AVE STE 4F, MEMPHIS, TN 38112-3834
(901) 673-9944
(901) 425-9884
Mailing address
4755 SHIRA DR, BARTLETT, TN 38002-5996
(901) 673-9944
(901) 425-9884
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/12/2025
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