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NPI Code Detail

MEDICARE: JAMES ANTHONY PASS JR. MSN, APRN, FNP-C

MEDICARE: JAMES ANTHONY PASS JR. MSN, APRN, FNP-C
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 Practitioner27871TN

General Provider Information

NPI Number : 1770193344
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ANTHONY PASS JR. MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 116 N PAULINE ST
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-1005
Country : US
Telephone Number : 901-523-8990
Fax Number : 901-522-3556
Provider Business Practice Location Address
First Line : 116 N PAULINE ST
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-1005
Country : US
Telephone Number : 901-523-8990
Fax Number : 901-522-3556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2020
Last Update Date : 02/09/2026

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