MY CLINIC MEMPHIS, LLC; NPI #1366234023

Contact Information

MY CLINIC MEMPHIS, LLC

4901 RALEIGH COMMON DR STE 100
MEMPHIS, TN 38128-2478

Phone: 901-545-4331
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Research	261QR1100X

Indicates primary specialty

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NPI Profile & details for MY CLINIC MEMPHIS, LLC

NPI #	`1366234023`
LBN Legal business name	MY CLINIC MEMPHIS, LLC
Authorized official	ELISHEVA REESE - (FAMILY NURSE PRACTITIONER / OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/20/2025
Last updated	03/22/2026 - About 3 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MY CLINIC MEMPHIS, LLC

Contact Information

Specialty

Primary Care

Research

NPI Profile & details for MY CLINIC MEMPHIS, LLC

Reviews for MY CLINIC MEMPHIS, LLC