MEDICARE: ROSE SINCLAIR NP

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	363L00000X	Nurse Practitioner	APN0000007298	TN

General Provider Information

NPI Number	:	1740353804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE SINCLAIR NP

Provider Business Mailing Address
First Line	:	6005 PARK AVE
Second Line	:	STE 700
City	:	MEMPHIS
State	:	TN
Zip	:	38119-5217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6005 PARK AVE
Second Line	:	STE 700
City	:	MEMPHIS
State	:	TN
Zip	:	38119-5217
Country	:	US
Telephone Number	:	901-527-3391
Fax Number	:

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

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	09/26/2007

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Directions to “ ROSE SINCLAIR NP” Practice Location

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