Healthcare Provider Details

I. General information

NPI: 1447077516
Provider Name (Legal Business Name): MBS HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2024
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 WILLOW TREE CIR STE 2
CORDOVA TN
38018-6330
US

IV. Provider business mailing address

830 WILLOW TREE CIR STE 2
CORDOVA TN
38018-6330
US

V. Phone/Fax

Practice location:
  • Phone: 901-319-5159
  • Fax:
Mailing address:
  • Phone: 901-319-5159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. GLENDA PULLIAM
Title or Position: CEO
Credential:
Phone: 704-449-6400