Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | APN0000019522 | TN |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 19522 | TN |
N | 363LF0000X | Nurse Practitioner - Family Medicine | R879072 | MS |
NPI | 1407247315 |
---|---|
Provider Name | Valarie Kershaw-Berry |
First Address | Memphis, TN 38118-3035 |
Second Address | Memphis, TN 38118-3035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2015 |
Last Update Date | 29/04/2020 |