Individual
WAYNE JOSEPH LADNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00381
MS
363A00000X
Physician Assistant
Primary
PA1080
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002279015
—
MS
05
—
3662114
—
TN
Enumeration date
01/13/2006
Last updated
03/13/2026
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