Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 15693 | TN |
NPI | 1225381650 |
---|---|
Provider Name | Mrs. Jane Guidry Hood |
First Address | Memphis, TN 38103-2807 |
Second Address | Memphis, TN 38103-2807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2012 |
Last Update Date | 02/04/2015 |