Healthcare Provider Details

I. General information

NPI: 1699684217
Provider Name (Legal Business Name): CATHERINE MARIA GRIFFIN LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE MARIA SOLOMON SOLOMON

II. Dates (important events)

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

III. Provider practice location address

8060 WOLF RIVER BLVD
GERMANTOWN TN
38138-1727
US

IV. Provider business mailing address

6544 WILLOW BROOK ST
MILLINGTON TN
38053-7933
US

V. Phone/Fax

Practice location:
  • Phone: 901-265-9128
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number99958
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: