Individual provider · NPI-1

Travoris Mcclee

Registered Nurse, Emergency · Memphis, TN

NPI number1790419620
StatusActive
Last updated in NPPESJul 15, 2022

Details

NPI
1790419620
Entity type
Individual (NPI-1)
Name
Travoris Mcclee
Sex
Male
Sole proprietor
No
Enumeration date
Jul 15, 2022
Certification date
Jul 15, 2022
Last updated
Jul 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WE0003X Registered Nurse, Emergency250424TNYes
146N00000X Emergency Medical Technician, Basic34373TN

Practice location

1030 Jefferson Ave
Memphis, TN 38104-2127

Phone 901-523-8990

Mailing address

6416 Moriah Run Apt 103
Memphis, TN 38115-5601

Phone 901-319-0529

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