Healthcare Provider Details

I. General information

NPI: 1164808028
Provider Name (Legal Business Name): CHRISTINA GRACE HANNA DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTI MORGAN NP-C

II. Dates (important events)

Enumeration Date: 08/03/2015
Last Update Date: 05/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 UNION AVE SUITE 184
MEMPHIS TN
38104-3415
US

IV. Provider business mailing address

PO BOX 1000 DEPT #457
MEMPHIS TN
38148-0457
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-9183
  • Fax:
Mailing address:
  • Phone: 901-516-0929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20175
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: