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NPI Code Detail

MEDICARE: MRS. CAROLYN JENE SPRINGFIELD-HARVEY RN, APN

MEDICARE: MRS. CAROLYN JENE SPRINGFIELD-HARVEY RN, APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN0000005269TN

General Provider Information

NPI Number : 1215924188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLYN JENE SPRINGFIELD-HARVEY RN, APN
Provider Business Mailing Address
First Line : 790 MADISON AVE.
Second Line : SUITE 218
City : MEMPHIS
State : TN
Zip : 38163-0001
Country : US
Telephone Number : 901-448-5630
Fax Number : 901-448-7255
Provider Business Practice Location Address
First Line : 790 MADISON AVE.
Second Line : SUITE 218
City : MEMPHIS
State : TN
Zip : 38163-0001
Country : US
Telephone Number : 901-448-5630
Fax Number : 901-448-7255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 07/09/2007

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