Healthcare Provider Details

I. General information

NPI: 1265336515
Provider Name (Legal Business Name): YUSGLEISY CORINA RIERAS REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6625 LENOX PARK DR # 101
MEMPHIS TN
38115-4397
US

IV. Provider business mailing address

4285 LARK VALLEY LN APT 205
BARTLETT TN
38135-5211
US

V. Phone/Fax

Practice location:
  • Phone: 901-683-0024
  • Fax:
Mailing address:
  • Phone: 901-607-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1250226
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: