Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 46447 | TN |
Y | 207Q00000X | Family Doctor | 46447 | TN |
NPI | 1144463431 |
---|---|
Provider Name | Jonathan Tyler English |
First Address | Memphis, TN 38112-5115 |
Second Address | Memphis, TN 38112-5115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2009 |
Last Update Date | 09/03/2021 |