Ms Yvette Humphrey, DNP,PMHNP-BC, FNP-BC | |
262 Danny Thomas Pl, Memphis, TN 38105-3678 | |
(888) 226-4343 | |
Not Available |
Full Name | Ms Yvette Humphrey |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 262 Danny Thomas Pl, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598841710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 6858 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 6858 (Tennessee) | Primary |
Entity Name | St Jude Childrens Research Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
Mailing Address | Practice Location Address |
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Ms Yvette Humphrey, DNP,PMHNP-BC, FNP-BC 262 Danny Thomas Pl # Ms 515, Memphis, TN 38105-3678 Ph: () - | Ms Yvette Humphrey, DNP,PMHNP-BC, FNP-BC 262 Danny Thomas Pl, Memphis, TN 38105-3678 Ph: (888) 226-4343 |
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