Healthcare Provider Details

I. General information

NPI: 1427370600
Provider Name (Legal Business Name): MEMPHIS CENTER FOR REPRODUCTIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2010
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 POPLAR AVE
MEMPHIS TN
38104-7241
US

IV. Provider business mailing address

1203 POPLAR AVE
MEMPHIS TN
38104-7241
US

V. Phone/Fax

Practice location:
  • Phone: 901-274-3550
  • Fax: 901-274-3551
Mailing address:
  • Phone: 901-274-3550
  • Fax: 901-274-3551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER PEPPER
Title or Position: PRESIDENT & CEO
Credential:
Phone: 901-274-3550