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General NPI Number Information
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NPI Number | 1245451012
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Entity Type | Individual
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Provider Name | CHANDRA PRICE FNP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 03/01/2025
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Provider Practice Location Address
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Address Line | 6000 POPLAR AVE STE 250
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City | MEMPHIS
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State | TN
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Zip | 38119-3974
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Country | US
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Telephone | 901-451-9577
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Fax |
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Provider Business Mailing Address
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Address Line | 5175 ELMORE RD STE 9
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City | MEMPHIS
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State | TN
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Zip | 38134-5629
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Country | US
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Telephone | 901-451-9577
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12675
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 81901
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0100243-C-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 12675
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License Number State | TN
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