Healthcare Provider Details

I. General information

NPI: 1699502583
Provider Name (Legal Business Name): ASAP MINOR MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3108 N GERMANTOWN RD STE 105
BARTLETT TN
38133-4054
US

IV. Provider business mailing address

3108 N GERMANTOWN RD STE 105
BARTLETT TN
38133-4054
US

V. Phone/Fax

Practice location:
  • Phone: 901-710-8800
  • Fax: 901-328-6313
Mailing address:
  • Phone: 901-710-8800
  • Fax: 901-328-6313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TAMEKA SLEDGE
Title or Position: FAMILY NURSE PRACTITIONER
Credential: FNP-C
Phone: 901-710-8800