National Provider Identifier Database

MY CLINIC MEMPHIS LLC
Primary Care


Contact Information

MY CLINIC MEMPHIS, LLC
4901 RALEIGH COMMON DR STE 100
MEMPHIS, TN38128-2478
Phone: 901-545-4331
Fax:
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Research 261QR1100X

* Indicates primary specialty

NPI Profile & details for MY CLINIC MEMPHIS, LLC

NPI Number 1366234023
Legal business name
LBN
MY CLINIC MEMPHIS, LLC
Authorized official ELISHEVA REESE - (FAMILY NURSE PRACTITIONER / OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/20/2025
Last updated 03/22/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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