Individual provider · NPI-1

Erin Koryn Fontenot, RN

Registered Nurse, Diabetes Educator · Memphis, TN

NPI number1154827392
StatusActive
Last updated in NPPESApr 5, 2018

Details

NPI
1154827392
Entity type
Individual (NPI-1)
Name
Erin Koryn Fontenot
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 5, 2018
Last updated
Apr 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes EducatorR869363MSYes

Practice location

1265 Union Ave
Memphis, TN 38104-3415

Phone 901-516-8330 · Fax 901-516-8252

Mailing address

1265 Union Ave
Memphis, TN 38104-3415

Phone 901-516-8330 · Fax 901-516-8252

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