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Search › Tennessee › Dermatopathology Physician

Dallas Provence, NP

NPI 1619556230 · on the registry since 2021 · sole proprietor

Practice

Address
6254 Poplar Ave
Memphis, TN 38119
Phone
(901) 624-3333
Clinicians at this address
4

Registry record

Primary taxonomy
Dermatopathology Physician
207ND0900X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-02
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee