Jada Anne Tribble, PA
Physician Assistant, Surgical in Memphis, TN. Individual provider (NPI-1).
NPI number1285885293
StatusActive
Last updated in NPPESJan 20, 2012
Details
- NPI
- 1285885293
- Entity type
- Individual (NPI-1)
- Name
- Jada Anne Tribble
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2008
- Last updated
- Jan 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 1671 | TN | Yes |
Practice location
6005 Park AveLoewenberg Building, Suite 802
Memphis, TN 38119-5202
Phone 901-236-0508 · Fax 901-682-2143
Mailing address
6005 Park AveLoewenberg Building, Suite 802
Memphis, TN 38119-5202
Phone 901-236-0508 · Fax 901-682-2143
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