Organization · NPI-2

901 Health & Wellness Clinic PLLC

Clinic/Center, Primary Care · Memphis, TN

NPI number1780172932
StatusActive
Last updated in NPPESApr 24, 2018

Details

NPI
1780172932
Entity type
Organization (NPI-2)
Legal business name
901 Health & Wellness Clinic PLLC
Organization subpart
No
Enumeration date
Apr 24, 2018
Last updated
Apr 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes
363LF0000X Nurse Practitioner, Family––

Practice location

364 S Front St
Memphis, TN 38103-4114

Phone 901-827-8091

Mailing address

364 S Front St
Memphis, TN 38103-4114

Phone 901-827-8091

Authorized official

Pollyann Scholze
President
9018278091

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