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Patience Amy Waddell

NPI Registration Record

Provider / OrganizationNPIDate Certified
PATIENCE AMY WADDELL10630204692020-07-24
Entity TypeIndividual
Provider NameDr. Patience Amy Waddell DNP
Other Provider NameMrs. Patience Amy Jarrett
Practice Office Address4626 SEA ISLE RD
MEMPHIS, TN US
Practice Office Telephone9016521548
Mailing Address4626 SEA ISLE RD
MEMPHIS, TN 381176130 US
Business Telephone9013374714
HPT Codes
CodeLicense NoState
363LF0000X PRIMARY27803 TN
OPI Codes

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