MEDICARE: MARY BROOKS THIGPEN CRNP

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
1	363LF0000X	Family Nurse Practitioner	41036	TN

General Provider Information

NPI Number	:	1639902422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY BROOKS THIGPEN CRNP

Provider Business Mailing Address
First Line	:	405 BELCHER ST
Second Line	:
City	:	CENTREVILLE
State	:	AL
Zip	:	35042-2946
Country	:	US
Telephone Number	:	205-926-2992
Fax Number	:

Provider Business Practice Location Address
First Line	:	969 FRAYSER BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38127-5977
Country	:	US
Telephone Number	:	901-842-3162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	03/06/2026

Similar Medicare Providers

1336149558 — DR. RICHARD A NELSON MD
Practice Location Address:

969 FRAYSER BLVD
MEMPHIS, TN
38127-5977

Practice Phone: 901-701-2540
Practice Fax: 901-260-8449

1477521037 — JOANNE FILCHOCK MD
Practice Location Address:

969 FRAYSER BLVD
MEMPHIS, TN
38127-5977

Practice Phone: 901-701-2540
Practice Fax: 901-271-6249

1659307247 — LORI K WITMER APRN/BC, FNP
Practice Location Address:

969 FRAYSER BLVD , COMMUNITY FAMILY MEDICAL
MEMPHIS, TN
38127-5977

Practice Phone: 901-701-2540
Practice Fax: 901-260-8449

1164608519 — DR. BENJAMIN LAU ANDREWS M.D.
Practice Location Address:

969 FRAYSER BLVD , SUITE 200
MEMPHIS, TN
38127-5977

Practice Phone: 901-701-2540
Practice Fax: 901-260-8449

1053572206 — CHRIST COMMUNITY HEALTH SERVICES INC
Practice Location Address:

969 FRAYSER BLVD
MEMPHIS, TN
38127-5977

Practice Phone: 901-260-8400
Practice Fax: 901-260-8449

1740546191 — LINDSAY GREEN MD
Practice Location Address:

969 FRAYSER BLVD
MEMPHIS, TN
38127-5977

Practice Phone: 901-701-2540
Practice Fax: 901-260-8598

Directions to “ MARY BROOKS THIGPEN CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.