Healthcare Provider Details

I. General information

NPI: 1972515559
Provider Name (Legal Business Name): ANNE HOOPER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3461 AUSTIN PEAY HWY
MEMPHIS TN
38128-3801
US

IV. Provider business mailing address

5499 SOUTHWOOD DR
MEMPHIS TN
38120-1953
US

V. Phone/Fax

Practice location:
  • Phone: 901-261-4500
  • Fax:
Mailing address:
  • Phone: 901-261-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number068139
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: