Healthcare Provider Details

I. General information

NPI: 1790538486
Provider Name (Legal Business Name): MADISON HIGHTOWER MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADISON HIGHTOWER

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6019 WALNUT GROVE RD
MEMPHIS TN
38120-2113
US

IV. Provider business mailing address

11215 SILSBE LN
EADS TN
38028-6995
US

V. Phone/Fax

Practice location:
  • Phone: 901-226-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number289998
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number36494
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: