Individual
TANYA GLASS GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
9141 STONEDALE DR, CORDOVA, TN 38018-7502
(901) 355-1361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000103271
TN
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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