| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PATIENCE JARRETT WADDELL | 1063020469 | 2020-07-21 |
Patience Waddell [F] graduated in 2020 and primarily specializes in Nurse Practitioner.
Patience Jarrett Waddell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063020469. Registration indicates Patience Jarrett Waddell is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 4587083993 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Patience Jarrett Waddell DNP |
| Other Provider Name | Mrs. Patience Amy Jarrett |
| Practice Office Address | 880 MADISON AVE MEMPHIS, TN US |
| Practice Office Telephone | 9015456969 |
| Practice Office Fax | 9015457306 |
| Mailing Address | 4626 SEA ISLE RD MEMPHIS, TN 381176130 US |
| Business Telephone | 9013374714 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 8990 Germantown Rd | Olive Branch, MS 386548532 | 6628931160 / 9018931166 |
| 7424 US Highway 64 Ste 111 | Bartlett, TN 381338937 | 9013857817 / 9013832150 |
| 6116 Quince Rd | Memphis, TN 381197254 | 8663892727 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 27803
TN |