Healthcare Provider Details

I. General information

NPI: 1518753771
Provider Name (Legal Business Name): IN & OUT MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 COMMERCIAL DR STE B
ATOKA TN
38004-7039
US

IV. Provider business mailing address

201 COMMERCIAL DR STE B
ATOKA TN
38004-7039
US

V. Phone/Fax

Practice location:
  • Phone: 901-622-4040
  • Fax:
Mailing address:
  • Phone: 901-622-4040
  • Fax: 901-622-4043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDA DENISE NEELEY
Title or Position: NURSE PRACTITIONER
Credential: FNP-C
Phone: 901-622-4040