MRS. DEBORAH HENDERSON SELAK (NPI# 1669744876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669744876 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH HENDERSON SELAK |
| Credential | ARNP |
| Practice Address |
1750 Frayser Blvd Suite A Memphis TN 38127-6439 |
| Practice Telephone | 9013580368 |
| Practice Fax Number | 9013589010 |
| Mailing Telephone | 9013580368 |
| Mailing Fax Number | 9013589010 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
14290 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1750 FRAYSER BLVD SUITE A |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861759045 | Frayser Medical Center Inc. | Clinic/Center | 1750 Frayser Blvd, A, Memphis, TN 38127-6439 | 2012-04-12 |
| 1669422838 | Alyce D Miles | Optometrist | 1750 Frayser Blvd, Suite E, Memphis, TN 38127-6439 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
| Find all providers in zip 38127 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386954683 | My Np Family Health and Wellness Clinic | Clinical Nurse Specialist | 1061 S Rembert St, Memphis, TN 38104-5651 | 2010-10-20 |
| 1477785731 | Donna Christine Harris | Clinical Nurse Specialist | 5959 Park Ave, Memphis, SHELBY COUNTY 38119 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1356898001 | Tasha Ligon | Clinical Nurse Specialist | 4016 Peaks Landing Way, Apt 103, Knoxville, TN 37918-7934 | 2016-09-09 |
| 1073909883 | Jeffrey Lynn Wilson | Clinical Nurse Specialist | 5516 Barons Pt, Ooltewah, TN 37363-8875 | 2015-04-08 |
| 1790180552 | Carol Campbell | Clinical Nurse Specialist | 3723 Stevens Ln, Nashville, TN 37218-1205 | 2014-10-22 |
| 1790976447 | Express Med, LLC | Clinical Nurse Specialist | 1276 1st Ave, Lawrenceburg, TN 38464-2762 | 2007-08-07 |
| 1548807647 | Chelsey Huff | Clinical Nurse Specialist | 6294 Highway 41a, Pleasant View, TN 37146-8175 | 2019-12-08 |
| 1013440106 | Integrated Health Concepts, LLC | Clinical Nurse Specialist | 28 Midway St, Bristol, TN 37620-1706 | 2017-04-06 |
| 1295273043 | Malones Group LLC | Clinical Nurse Specialist | 607 W Due West Ave, Suite 105, Madison, TN 37115-4431 | 2017-02-01 |
| 1326592809 | Brooke Torbett | Clinical Nurse Specialist | 4233 Highway 411, Madisonville, TN 37354-1571 | 2016-08-12 |
| 1407224660 | Premier Internal Medicine of Giles County | Clinical Nurse Specialist | 1119 E College St, Suite 1, Pulaski, TN 38478-4563 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
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| 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.