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NPI Code Detail

MEDICARE: CHANDRA PRICE FNP

MEDICARE:   CHANDRA  PRICE  FNP
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 Practitioner12675TN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner81901KS
3363LP0808XPsychiatric/Mental Health Nurse PractitionerC-APN.0100243-C-NPCO
4363LP0808XPsychiatric/Mental Health Nurse Practitioner12675TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245451012
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDRA PRICE FNP
Provider Business Mailing Address
First Line : 5175 ELMORE RD STE 9
Second Line :
City : MEMPHIS
State : TN
Zip : 38134-5629
Country : US
Telephone Number : 901-451-9577
Fax Number :
Provider Business Practice Location Address
First Line : 6000 POPLAR AVE STE 250
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-3974
Country : US
Telephone Number : 901-451-9577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 03/01/2025

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Directions to “ CHANDRA PRICE FNP” Practice Location

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