person
Ms. Lanetra Ann Wiley, NP
Pediatric Nurse Practitioner in Memphis, Tennessee
NPI 1407335490

Lanetra Ann Wiley is a Pediatric Nurse Practitioner based in Memphis, TN and is specialized in Pediatrics. Lanetra Ann Wiley practices in Memphis, TN and has the professional credentials of NP. The NPI Number for Lanetra Ann Wiley is 1407335490 and holds a License No. 24667 (Tennessee).

The current practice location address for Lanetra Ann Wiley is 160 S Hollywood St, Memphis, TN and can be reached out via phone at 901-287-7337 and via fax at 901-287-4787.

Location: 160 S Hollywood St, Memphis, TN, 38105-4607
person
Provider Profile Details
NPI Number
1407335490
Provider Name
Lanetra Ann Wiley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
160 S Hollywood St, Memphis, TN, 38105-4607
Phone Number
901-287-7337
Fax Number
901-287-4787
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q053901 05 TN
institution
Provider Business Practice Location Address Details
Address
160 S Hollywood St
City
State
Zip
38112-4801
Phone Number
901-287-7337
Fax Number
901-287-4787
person
Provider Business Mailing Address Details
Address
160 S Hollywood St
City
State
Zip
38112-4801
Phone Number
901-287-7337
Fax Number
901-287-4787
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
24667 (Tennessee)
Definition
Definition to come...
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