person
Detrice Flake, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Memphis, Tennessee
NPI 1720777303

Detrice Flake is a Psychiatric/Mental Health Nurse Practitioner based in Memphis, TN and is specialized in Psychiatric/Mental Health. Detrice Flake practices in Memphis, TN and has the professional credentials of PMHNP. The NPI Number for Detrice Flake is 1720777303 and holds a License No. 33892 (Tennessee).

The current practice location address for Detrice Flake is 125 Gayoso Ave Apt 504, Memphis, TN and can be reached out via phone at 731-217-6636.

Location: 125 Gayoso Ave Apt 504, Memphis, TN, 38103-2918
person
Provider Profile Details
NPI Number
1720777303
Provider Name
Detrice Flake
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
125 Gayoso Ave Apt 504, Memphis, TN, 38103-2918
Phone Number
731-217-6636
Fax Number
Provider Enumeration Date
05/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Gayoso Ave Apt 504
City
State
Zip
38103-2918
Phone Number
731-217-6636
Fax Number
person
Provider Business Mailing Address Details
Address
125 Gayoso Ave Apt 504
City
State
Zip
38103-2918
Phone Number
731-217-6636
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
33892 (Tennessee)
Definition
Definition to come...
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