Healthcare Provider Details

I. General information

NPI: 1124701388
Provider Name (Legal Business Name): UNIQUA ANNETTE CHEAIRS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 MADISON AVE
MEMPHIS TN
38103-3409
US

IV. Provider business mailing address

6522 GRAND OAK LN
SOUTHAVEN MS
38672-2507
US

V. Phone/Fax

Practice location:
  • Phone: 901-515-3500
  • Fax: 901-515-3509
Mailing address:
  • Phone: 901-297-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM08098
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: