MS. ANN REGINA FAULKNER


Address: 1030 Jefferson Ave, Memphis, TN 38104-2127
Phone: 9015238990

MS. ANN REGINA FAULKNER (NPI# 1558594697) 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) 1558594697
Entity Type Individual
Full Name MS. ANN REGINA FAULKNER
Credential RN, FNP
Practice Address 1030 Jefferson Ave
Memphis
TN 38104-2127
Mailing Address 3574 Kings Arms Cove
Memphis
TN 38115
Practice Telephone 9015238990
Mailing Telephone 9015657454
Enumeration Date 2009-08-24
Last Update Date 2009-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
200600795922 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1030 JEFFERSON AVE
City MEMPHIS
State TN
Zip Code 38104-2127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982697025 Katherine Denton Sanford Optometrist 1030 Jefferson Ave, Mail Code 112d, Memphis, TN 38104-2127 2005-08-24
1528667938 Mckenzie Bahl Recreation Therapist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-10-19
1427656834 Phillip David Resuggan Music Therapist 1030 Jefferson Ave, Memphis, TN 38104-2193 2020-10-16
1962009159 Rachel Diann Roberts Nurse Anesthetist, Certified Registered 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-10-01
1225643018 Melanie Warren Nurse Practitioner 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-09-09
1942828892 Brady Cole Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-07-08
1457978595 Mariko Thel Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-07-05
1215554910 Weston Paul Keen Pharmacy 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-29
1225655236 Rebecca Fong Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-26
1225653660 Brandy Hollums Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669000840 Tekeyla Warfield Nurse Practitioner 2980 Poplar Ave, Memphis, TN 38111-3527 2020-04-01
1275009037 Lashaunda Rogers Nurse Practitioner 1264 Wesley Dr Ste 501, Memphis, TN 38116-6456 2018-10-19
1699170019 Kimberly Nicole Vann Nurse Practitioner 1669 Shelby Oaks Dr N Ste 106, Memphis, TN 38134-7441 2014-10-28
1770716078 Christen D Greenfield Nurse Practitioner 3145 Players Club Pkwy, Memphis, TN 38125-8835 2009-09-02
1902802556 Jacquelyn Delois Kimball Nurse Practitioner 1056 E Raines Rd, Memphis, TN 38116-6337 2005-06-27
1013525187 Kershaw Primary Care and Weight Loss Nurse Practitioner 6005 Park Ave, Memphis, TN 38119-5202 2020-07-15
1912418302 Linda Marie Jones Nurse Practitioner 2400 Poplar Ave, Memphis, TN 38112-3213 2017-10-12
1053846154 Christina Wallace Nurse Practitioner 262 N Danny Thomas Blvd, Memphis, TN 38105-2822 2017-04-26
1194183137 Gwendolyn Mathis Nurse Practitioner 2220 Union Ave, Memphis, TN 38104 2016-02-05
1841684636 Mia Mccoy Nurse Practitioner 848 Adams Ave, Memphis, TN 38103-2816 2015-03-19
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Competitor

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City MEMPHIS
Zip Code 38104

Improve Information

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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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