| Prc Psychiatry | |
|
6000 Poplar Ave Ste 250 Memphis TN 38119-3974 | |
| (901) 451-9577 | |
| Not Available |
| Full Name | Prc Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6000 Poplar Ave Ste 250, Memphis, Tennessee |
| Authorized Official Name and Position | Chandra Price (NURSE PRACTITIONER) |
| Authorized Official Contact | 9014519577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prc Psychiatry 6000 Poplar Ave Ste 250 Memphis TN 38119-3974 Ph: (901) 451-9577 | Prc Psychiatry 6000 Poplar Ave Ste 250 Memphis TN 38119-3974 Ph: (901) 451-9577 |
| NPI Number | 1427754639 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 9032560503 |
|---|---|
| Medicare Enrollment ID | O20240221003335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427754639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Chandra Lynn Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245451012 PECOS PAC ID: 9133214257 Enrollment ID: I20071004000634 |
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