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NPI Code Detail

MEDICARE: HEATHER CALLAHAN RN

MEDICARE: HEATHER CALLAHAN RN
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
1163WE0003XEmergency Registered Nurse220497TN

General Provider Information

NPI Number : 1770415291
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER CALLAHAN RN
Provider Business Mailing Address
First Line : 1765 HOLDER RD
Second Line :
City : GRAND JUNCTION
State : TN
Zip : 38039-6435
Country : US
Telephone Number : 901-389-8410
Fax Number :
Provider Business Practice Location Address
First Line : 1265 UNION AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3415
Country : US
Telephone Number : 901-516-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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