Healthcare Provider Details

I. General information

NPI: 1528676707
Provider Name (Legal Business Name): PAMELA GARNER APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

874 UNION AVE
MEMPHIS TN
38103-3514
US

IV. Provider business mailing address

874 UNION AVE
MEMPHIS TN
38103-3514
US

V. Phone/Fax

Practice location:
  • Phone: 731-616-8866
  • Fax: 901-448-9446
Mailing address:
  • Phone: 731-616-8866
  • Fax: 901-448-9446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number27648
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: