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Contact Information

SELENE INTEGRATIVE CARE PLLC
109 W DEMPSTER AVE
MEMPHIS, TN38109
 Phone: 901-361-6822
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Acupuncturist

171100000X
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for SELENE INTEGRATIVE CARE PLLC

NPI # 1336726827
LBN Legal business name SELENE INTEGRATIVE CARE PLLC
Authorized official ADRIENNE JACKSON - (NURSE PRACTITIONER/ OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2021
Last updated 03/29/2021 - About 5 years 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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