Zoe Qualls

NPI 1033229885 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1033229885
Gender Female
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1030 JEFFERSON AVE
111E1
MEMPHIS TN, 38104-2127, US
Phone (901) 577-7361
Fax
Business Location
3565 SOUTHWOOD AVE
MEMPHIS TN, 38111-6149, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Tennessee
License Number 00000080216
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According to our database, Zoe Qualls NPI is 1033229885, taxonomy code is 363LA2200X and license number is 00000080216, license state is located at Tennessee. Zoe Qualls physically located at 1030 Jefferson Ave, Memphis TN, 38104-2127. NPI Number Zoe Qualls has the Individual type.

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1033229885 NPI number is provided on an as is basis without warranty of any kind. 1033229885 is maintained by the National Plan & Provider Enumeration System. The contents of Zoe Qualls are for informational purposes only.