MS. DEWONIA LANISHE KING MSN
NPI 1639367790
Nurse Practitioner - Family in Memphis, TN
Active since October 12, 2007
About Ms. Dewonia Lanishe King Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DEWONIA LANISHE KING MSN (NPI 1639367790) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (12966) and active in the NPI registry since October 2007.
NPPES Registry Identity
NPI1639367790
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DEWONIA LANISHE KINGCredential: MSN
Location Address360 E EH CRUMP BLVDMemphis, TN 38126-5310
Mailing Address3016 Meadowfair RdMemphis, TN 38118-7643 · (901) 365-3766
Phone(901) 435-1461
Fax(901) 946-3944
Sole ProprietorNo
Enumeration DateOctober 12, 2007
✔ NPI 1639367790 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 12966
360 E EH CRUMP BLVD, Memphis, TN 38126
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Federally Qualified Health Center (FQHC))
360 E EH CRUMP BLVD
MEMPHIS, TN 38126
MEMPHIS, TN 38126
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639367790, enumerated as an "individual" on October 12, 2007.
The provider is located at 360 E EH CRUMP BLVD MEMPHIS, TN 38126 and the phone number is (901) 435-1461.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
