NPI 1003746991
Passport Health Holdings, LLC
Practice location
- Address
- 865 Willow Tree Circle Suite 110, Cordova, TN 38018
- Phone
- (877) 358-8648
- Fax
- (877) 877-6875
- Mailing address
- 4343 East Outlier Blvd. Suite 100w, Phoenix, AZ 85008-6507
Authorised official
- Name
- Juana Slack
- Title
- Medical Billing Specialist
- Phone
- (480) 646-9086
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003746991
- Entity type
- Organization
- NPI issued
- 21 May 2026
- Record last updated
- 21 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.