Healthcare Provider Details

I. General information

NPI: 1841295854
Provider Name (Legal Business Name): JULIE ELLEN DALEHITE-STRINGFELLOW FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 07/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4958 NAVY RD
MILLINGTON TN
38053-2066
US

IV. Provider business mailing address

4958 NAVY RD
MILLINGTON TN
38053-2066
US

V. Phone/Fax

Practice location:
  • Phone: 901-872-0023
  • Fax: 901-872-0024
Mailing address:
  • Phone: 901-872-0023
  • Fax: 901-872-0024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0377974-22
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11166
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: