MICHELLA GLENNA DOUGLAS


Address: 3911 Oak Branch Cir W, Memphis, TN 38135-0213
Phone: 9016435288

MICHELLA GLENNA DOUGLAS (NPI# 1053949586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053949586
Entity Type Individual
Full Name MICHELLA GLENNA DOUGLAS
Practice Address 3911 Oak Branch Cir W
Memphis
TN 38135-0213
Practice Telephone 9016435288
Mailing Telephone 9016435288
Enumeration Date 2020-03-30
Last Update Date 2020-10-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 4234 TN Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3911 OAK BRANCH CIR W
City MEMPHIS
State TN
Zip Code 38135-0213

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326677907 Hamad Ahmad Md PC Family Medicine 6490 Memphis Arlington Rd Suite 106, Bartlett, TN 38135 2020-04-06
1699143156 Cortney Brugal Pharmacist 3881 Rim Creek Ln, Memphis, TN 38135 2015-09-14
1841689783 Georginia Melius Ix Occupational Therapist 3655 Jalan Drive, Bartlett, TN 38135 2015-01-15
1518123033 Sheila Ann Perkins Occupational Therapy Assistant 3909 Old Covington Pike Road, Memphis, TN 38135 2008-08-04
1881815801 Rahul Vasant Sonone Psychiatry & Neurology 7645 Wolfriver Circle, 100, Germatown, TN 38135 2007-05-01
1295873842 Tanya Lasha Hill Counselor 7410 Memphis-arlington Road, Memphis, TN 38135 2007-02-02
1013056084 Nicole Lynn Gebke Social Worker 7410 Memphis-arlington Rd, Bartlett, TN 38135 2007-02-06
1922056431 Carl J Siciliano Podiatrist 7424 Us Highway 64, Ste 119, Bartlett, TN 38135 2006-05-05
1124671060 Anne Ellen Roberson Nurse Practitioner 3924 Oak Branch Cir E, Bartlett, TN 38135-0223 2019-07-19
1588102446 Kathleen Marie Durant Speech-Language Pathologist 5632 Dedo Cir, Memphis, TN 38135-0235 2017-02-10
Find all providers in zip 38135

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235737354 Adrienne Smith Physician Assistant 5200 Park Ave Ste 100, Memphis, TN 38119-3505 2020-10-12
1134734817 Siushan Tang Vuong Physician Assistant 102 Clark Pl Apt S, Memphis, TN 38104-2419 2020-09-10
1174137525 Gustavo Adolfo Tangarife Sr. Physician Assistant 2193 Morning Vista Dr, Memphis, TN 38134-6018 2020-09-02
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1306480868 Lauren Blum Physician Assistant 100 S Greer St, Memphis, TN 38111-3429 2019-10-28
1487135463 Baron Surgical, Pllc Physician Assistant 4728 Spottswood Ave # 199, Memphis, TN 38117-4817 2018-08-27
1083139265 Huda Alaeddin Physician Assistant 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 2017-08-08
1982076246 Richard Randolph Physician Assistant 1094 River Isle Dr, Memphis, TN 38103-8870 2015-10-27
1962870808 Sophia Garrison Physician Assistant 4562 Poplar Ave Ste 109, Memphis, TN 38117-7515 2015-09-09
1952778276 Jose Carrion Physician Assistant 493 Dr M L King Jr Ave, Memphis, TN 38126-3812 2015-08-24
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38135

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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