MEDICARE: JESSICA CULVER FNP-C

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
1	363LF0000X	Family Nurse Practitioner	27581	TN

General Provider Information

NPI Number	:	1679886055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA CULVER FNP-C

Provider Business Mailing Address
First Line	:	5628 MURRAY AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-3876
Country	:	US
Telephone Number	:	901-295-9510
Fax Number	:	888-270-9237

Provider Business Practice Location Address
First Line	:	5628 MURRAY AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-3876
Country	:	US
Telephone Number	:	901-295-9510
Fax Number	:	888-270-9237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	09/29/2022

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