Healthcare Provider Details

I. General information

NPI: 1851072284
Provider Name (Legal Business Name): LLOYANN FERRELL-BISHOP APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WOODBRIDGE RD STE A
SOMERVILLE TN
38068-1242
US

IV. Provider business mailing address

25 WOODBRIDGE RD STE A
SOMERVILLE TN
38068-1242
US

V. Phone/Fax

Practice location:
  • Phone: 901-465-6353
  • Fax: 833-902-3599
Mailing address:
  • Phone: 901-465-6353
  • Fax: 833-902-3599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number34322
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number176636
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: