Mallory J. Wilbon APRN-FNP

NPI 1669666442 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1669666442
Gender Female
Enumeration Date 09/05/2007
Last Updated 09/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2158 UNION AVE
STE. 100
MEMPHIS TN, 38104-4205, US
Phone (901) 728-5858
Fax (901) 507-0558
Business Location
2158 UNION AVE
STE. 100
MEMPHIS TN, 38104-4205, US
Phone (901) 728-5858
Fax (901) 507-0558
Toxanomy
Taxonomy Code 363LF0000X
License State Tennessee
License Number APN0000010556
Remove 1669666442 NPI Number
 

According to our database, Mallory J. Wilbon APRN-FNP NPI is 1669666442, taxonomy code is 363LF0000X and license number is APN0000010556, license state is located at Tennessee. Mallory J. Wilbon APRN-FNP physically located at 2158 Union Ave, Memphis TN, 38104-4205. NPI Number Mallory J. Wilbon APRN-FNP has the Individual type.

Sponsored links

1669666442 NPI number is provided on an as is basis without warranty of any kind. 1669666442 is maintained by the National Plan & Provider Enumeration System. The contents of Mallory J. Wilbon APRN-FNP are for informational purposes only.