Healthcare Provider Details

I. General information

NPI: 1437526977
Provider Name (Legal Business Name): DR. JEFFREY FAUST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2015
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 STAGE POST DR STE 102
BARTLETT TN
38133-4034
US

IV. Provider business mailing address

3111 STAGE POST DR STE 102
BARTLETT TN
38133-4034
US

V. Phone/Fax

Practice location:
  • Phone: 901-515-3200
  • Fax:
Mailing address:
  • Phone: 901-515-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number39478
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: