Anderson, Regina

Anderson, Regina is an individual health care provider with primary practice located at 1000 Haynes St , Memphis TN 38114-3374. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Anderson, Regina can be contacted via phone (901) 515-5200.

Contact Information

Primary practice address
1000 Haynes St Memphis TN 38114-3374
Phone: (901) 515-5200
Fax: (901) 323-6807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN 89402 Tennessee

Profile Details

NPI number 1891771754
LBN Legal business name Anderson, Regina
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891771754 NPPES
Tennessee MEDICAID 3903799

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