Healthcare Provider Details

I. General information

NPI: 1164895793
Provider Name (Legal Business Name): NURSING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4311 FISKE VALLEY DR
MEMPHIS TN
38135-9273
US

IV. Provider business mailing address

PO BOX 34393
MEMPHIS TN
38184-0393
US

V. Phone/Fax

Practice location:
  • Phone: 901-337-5421
  • Fax:
Mailing address:
  • Phone: 901-337-5421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number000539106
License Number StateMA

VIII. Authorized Official

Name: MR. MACK REESE
Title or Position: LICENSED COUNSELOR
Credential:
Phone: 901-337-5421