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Ms. Sandra D Waller, FNP,MSN
Nurse Practitioner in Memphis, Tennessee
NPI 1043260441

Sandra D Waller is a Nurse Practitioner based in Memphis, TN. Sandra D Waller practices in Memphis, TN and has the professional credentials of FNP,MSN. The NPI Number for Sandra D Waller is 1043260441 and holds a License No. APN0000005098 (Tennessee).

The current practice location address for Sandra D Waller is 2861 Broad Ave, Memphis, TN and can be reached out via phone at 901-260-8500 and via fax at 901-325-6469.

Location: 2861 Broad Ave, Memphis, TN, 38104-5905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043260441
Provider Name
Sandra D Waller
Credential
FNP,MSN
Provider Entity Type
Individual
Gender
Female
Address
2861 Broad Ave, Memphis, TN, 38104-5905
Phone Number
901-260-8500
Fax Number
901-325-6469
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3346145 05 TN
institution
Provider Business Practice Location Address Details
Address
2861 Broad Ave
City
Memphis
State
Tennessee
Zip
38112-2903
Phone Number
901-260-8500
Fax Number
901-325-6469
person
Provider Business Mailing Address Details
Address
2861 Broad Ave
City
Memphis
State
Tennessee
Zip
38112-2903
Phone Number
901-260-8500
Fax Number
901-325-6469
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APN0000005098 (Tennessee)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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