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General NPI Number Information
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NPI Number | 1801745344
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Entity Type | Individual
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Provider Name | KATHLEEN HESTER DEATON APRN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1325 EASTMORELAND AVE STE 550
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City | MEMPHIS
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State | TN
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Zip | 38104-7507
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Country | US
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Telephone | 901-276-0249
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Fax |
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Provider Business Mailing Address
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Address Line | 238 E EDWIN CIR
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City | MEMPHIS
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State | TN
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Zip | 38104-5909
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Country | US
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Telephone | 901-632-1364
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 40992
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License Number State | TN
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