Healthcare Provider Details

I. General information

NPI: 1073217717
Provider Name (Legal Business Name): ALLISON ELIZABETH BOONE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 EXETER RD
GERMANTOWN TN
38138-3922
US

IV. Provider business mailing address

384 WINDING RIVER CIR APT 203
MEMPHIS TN
38120-2910
US

V. Phone/Fax

Practice location:
  • Phone: 901-757-1350
  • Fax: 901-757-3496
Mailing address:
  • Phone: 919-610-9168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number247084
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: