Most Relevant Information
Provider Data
| NPI Number: | 1003345398 |
| Provider Name: | ANGELICA J DENNIS APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 22433 |
Most Important Dates
| Enumeration Date: | 06/08/2017 |
| Last Updated: | 06/08/2017 |
Provider Practice Location
1265 UNION
MEMPHIS
TN
38104
Practice Location Phone/Fax
| Phone: | 9015168185 |
| Fax: | 9015162077 |
Provider Mailing Location
1265 UNION AVE
MEMPHIS
TN
381043415
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |