Individual
EMILY TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6799 GREAT OAKS RD STE 250, MEMPHIS, TN 38138-2584
(901) 821-8300
Mailing address
1062 HOLLY LEIGH CV, COLLIERVILLE, TN 38017-6102
(901) 647-4791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25061
TN
363LF0000X
Family Nurse Practitioner
903006
MS
Other
Enumeration date
10/31/2018
Last updated
07/24/2024
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