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FARRIS PEDIATRIC PRIMARY CARE CONCEPT, LLC
NPI 1710761127
Nurse Practitioner - Pediatrics in Memphis, TN

Active since August 24, 2023
4250 FARONIA RD STE 2A, MEMPHIS, TN 38116(901) 236-7707 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Farris Pediatric Primary Care Concept, Llc NPPES

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

FARRIS PEDIATRIC PRIMARY CARE CONCEPT, LLC (NPI 1710761127) is a healthcare organization registered as a pediatrics in Memphis, Tennessee and active in the NPI registry since August 2023. The organization lists Jacqueline Farris, Pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1710761127
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameFARRIS PEDIATRIC PRIMARY CARE CONCEPT, LLC
Location Address4250 FARONIA RD STE 2AMemphis, TN 38116-6250
Mailing Address2059 Kingsley AveMemphis, TN 38127-3933 · (901) 409-0506
Phone(901) 236-7707
Organization SubpartNo
Authorized OfficialJacqueline FarrisPediatric Nurse Practitioner · (901) 409-0506
Enumeration DateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
✔ NPI 1710761127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
4250 FARONIA RD STE 2A, Memphis, TN 38116
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JACQUELINE FARRIS RN
Nurse Practitioner (Pediatrics)
4250 FARONIA RD STE 2A
MEMPHIS, TN 38116
Shelby County (901) 236-7707

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 Farris Pediatric Primary Care Concept, LLC's NPI number?

The NPI number for Farris Pediatric Primary Care Concept, LLC is 1710761127. It was assigned to this organization in the NPPES registry on August 24, 2023.

Where is Farris Pediatric Primary Care Concept, LLC located?

Farris Pediatric Primary Care Concept, LLC is located at 4250 Faronia Rd Ste 2A, Memphis, TN 38116. The listed phone number is (901) 236-7707.

What is Farris Pediatric Primary Care Concept, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Farris Pediatric Primary Care Concept, LLC was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.