Healthcare Provider Details

I. General information

NPI: 1306701701
Provider Name (Legal Business Name): VANESSA CHANTHY ECHOLS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VANESSA CHANTHY COLLIER

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2747 BARTLETT BLVD
BARTLETT TN
38134-4580
US

IV. Provider business mailing address

2747 BARTLETT BLVD
BARTLETT TN
38134-4580
US

V. Phone/Fax

Practice location:
  • Phone: 901-748-5308
  • Fax: 901-529-7716
Mailing address:
  • Phone: 901-748-5308
  • Fax: 901-529-7716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number40336
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: