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NPI Code Detail

MEDICARE: TAMEKA BUBEN NP

MEDICARE: TAMEKA BUBEN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner10590TN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner10590TN

General Provider Information

NPI Number : 1588744007
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMEKA BUBEN NP
Provider Business Mailing Address
First Line : 6000 POPLAR AVE STE 250
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-3974
Country : US
Telephone Number : 901-626-7757
Fax Number : 901-329-4466
Provider Business Practice Location Address
First Line : 6000 POPLAR AVE STE 250
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-3974
Country : US
Telephone Number : 901-626-7757
Fax Number : 901-329-4466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 03/03/2026

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