MS. ALICE HANNIFIN


Address: 2569 Douglass Ave, Memphis, TN 38114-2532
Phone: 9017012550

MS. ALICE HANNIFIN (NPI# 1548681430) 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) 1548681430
Entity Type Individual
Full Name MS. ALICE HANNIFIN
Credential NP-C
Practice Address 2569 Douglass Ave
Memphis
TN 38114-2532
Mailing Address 2595 Central Ave
Memphis
TN 38104-5905
Practice Telephone 9017012550
Mailing Telephone 9012608500
Mailing Fax Number 9012608598
Enumeration Date 2013-12-19
Last Update Date 2016-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
17991 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN Q003427 05

Office Location

Street Address 2569 DOUGLASS AVE
City MEMPHIS
State TN
Zip Code 38114-2532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750391116 Angie Jean Childers Family Medicine 2569 Douglass Ave, Memphis, TN 38114-2532 2006-08-09
1538778014 Britney Richardson Thomas Nurse Practitioner 2569 Douglass Ave, Memphis, TN 38114-2532 2020-07-30
1801439229 Cynthia L James Nurse Practitioner 2569 Douglass Ave, Memphis, TN 38114-2532 2019-10-18
1093280661 Bailey Marie Monarch Nurse Practitioner 2569 Douglass Ave, Memphis, TN 38114-2532 2018-10-09
1649631573 John Epting Family Medicine 2569 Douglass Ave, Memphis, TN 38114-2532 2016-03-20
1659761609 Kelly N Scott Nurse Practitioner 2569 Douglass Ave, Memphis, TN 38114-2532 2015-01-29
1558797613 Christ Community Health Services Inc Pharmacy 2569 Douglass Ave, Memphis, TN 38114-2532 2013-09-20
1427395888 Ernest Witherspoon Pharmacist 2569 Douglass Ave, Memphis, TN 38114-2532 2013-01-04
1225320047 Zechary Craig Smith Family Medicine 2569 Douglass Ave, Memphis, TN 38114-2532 2011-05-12
1407017650 Christ Community Health Services Inc Clinic/Center 2569 Douglass Ave, Christ Community Health Services, Inc, Memphis, TN 38114-2532 2008-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871131037 Cassandra Jean Cowans Technician 3106 Harris Ave, Memphis, TN 38114 2019-12-18
1750871406 Alexander Scott LLC Non-emergency Medical Transport (VAN) 2150 Dunn Ave, Memphis, TN 38114 2018-05-17
1336416718 Emmanuel Medical Services LLC Ambulance 2510 Lamar Ave., Memphis, TN 38114 2011-11-29
1487893517 Erika B Carroll Registered Nurse 2569 Douglass Avenue, Christ Community Health Services Inc, Memphis, TN 38114 2009-02-12
1023256393 Hickory Hill Dental Care Dentist 1952 Lamar Avenue, Memphis, TN 38114 2009-01-26
1619076676 Toya Pinkston Dawson Dentist 2348 Park Avenue, Memphis, TN 38114 2006-09-22
1912009077 Temple of Blessings Deliverance Outreach Ministries Inc. Non-emergency Medical Transport (VAN) 1557 David Street, Memphis, TN 38114 2006-09-01
1811015266 Charles L Lewis Optometrist 1399 Airways Blvd, Suite 1, Memphis, TN 38114 2007-03-26
1760440648 Beverly J Williams-cleaves Internal Medicine 2829 Lamar Ave, Memphis, TN 38114 2006-05-02
1265564454 Joshua's House Center Counselor 1656 Lamar Ave, Memphis, TN 38114-1642 2007-03-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730787193 Nancy Katherine Ray Nurse Practitioner 4576 Poplar Ave, Memphis, TN 38117-7502 2020-10-16
1245837533 Sandra Dee Garrison Nurse Practitioner 335 Lillian Dr, Memphis, TN 38109-4431 2020-10-08
1972119527 Oneka E Poindexter Nurse Practitioner 86 N Rembert St, Memphis, TN 38104-2766 2020-09-18
1295346260 Jimarie Nelson Nurse Practitioner 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 2020-08-13
1346869187 Tollaria Williams Nurse Practitioner 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 2020-04-12
1497388912 Michelle Denise Jones Nurse Practitioner 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 2020-02-13
1336781657 J Wilson Health LLC Nurse Practitioner 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 2019-10-09
1265081574 Natalie Staten Nurse Practitioner 7651 Shelby Forest Cv, Memphis, TN 38125-2822 2019-09-09
1881247740 Mekeilah Nevaun Johnson Nurse Practitioner 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 2019-07-19
1205488087 Wendy Powell Nurse Practitioner 1407 Union Ave Ste 405, Memphis, TN 38104-3627 2019-07-12
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Competitor

Search similar providers

City MEMPHIS
Zip Code 38114

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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