MEDICARE: ADRIANE NIKOLE NAVARRO WHNP

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	363LW0102X	Women's Health Nurse Practitioner	41291	TN

General Provider Information

NPI Number	:	1841145265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANE NIKOLE NAVARRO WHNP

Provider Business Mailing Address
First Line	:	3148 EARLCASTLE DR
Second Line	:
City	:	SOUTHAVEN
State	:	MS
Zip	:	38671-6461
Country	:	US
Telephone Number	:	901-843-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	6745 WOLF RIVER BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-2386
Country	:	US
Telephone Number	:	901-843-1500
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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