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SELENE INTEGRATIVE CARE PLLC
NPI 1336726827
Nurse Practitioner - Primary Care in Memphis, TN

Active since March 29, 2021
109 W DEMPSTER AVE, MEMPHIS, TN 38109(901) 361-6822 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Selene Integrative Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELENE INTEGRATIVE CARE PLLC (NPI 1336726827) is a healthcare organization registered as a primary care in Memphis, Tennessee and active in the NPI registry since March 2021. The organization lists Adrienne Jackson, Nurse Practitioner/ Owner, as its authorized official.

NPPES Registry Identity

NPI1336726827
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSELENE INTEGRATIVE CARE PLLC
Location Address109 W DEMPSTER AVEMemphis, TN 38109
Mailing Address555 S B B King Blvd Unit 1341Memphis, TN 38101-1057 · (901) 361-6822
Phone(901) 361-6822
Organization SubpartNo
Authorized OfficialAdrienne JacksonNurse Practitioner/ Owner · (901) 361-6822
Enumeration DateMarch 29, 2021
NPPES CertifiedFebruary 19, 2021
✔ NPI 1336726827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
109 W DEMPSTER AVE, Memphis, TN 38109
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selene Integrative Care PLLC's NPI number?

The NPI number for Selene Integrative Care PLLC is 1336726827. It was assigned to this organization in the NPPES registry on March 29, 2021.

Where is Selene Integrative Care PLLC located?

Selene Integrative Care PLLC is located at 109 W Dempster Ave, Memphis, TN 38109. The listed phone number is (901) 361-6822.

What is Selene Integrative Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Selene Integrative Care PLLC was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.