London, Carla

London, Carla is an individual health care provider with primary practice located at 332 N Lauderdale St , Memphis TN 38105-2794. 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. London, Carla can be contacted via phone (901) 495-3006.

Contact Information

Primary practice address
332 N Lauderdale St Memphis TN 38105-2794
Phone: (901) 495-3006
Fax: (901) 495-3842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7101 Tennessee

Profile Details

NPI number 1194710376
LBN Legal business name London, Carla
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 15th, 2013 - about 13 years 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 1194710376 NPPES
Missouri MEDICAID 421328709
Missouri MEDICAID 200091420A
Missouri MEDICAID 161276758
Missouri MEDICAID 3908965
Missouri MEDICAID 5440878
Missouri Other 84118

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