NPI 1073703591

Well Child INC.

Organisation Pediatric Skilled Nursing Facility Memphis, TN

Practice location

Address: 2158 Union Ave STE 100, Memphis, TN 38104-4297
Phone: (901) 728-5858
Fax: (901) 274-5858

Authorised official

Name: Mallory I Wilbon
Title: Nurse Practioner
Phone: (901) 728-5858

Registered specialties

Pediatric Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 3140N1450X Licence 10556 (TN)

Other Skilled Nursing Facility providers in Tennessee →

Registry record

NPI: 1073703591
Entity type: Organization
NPI issued: 31 Jul 2007
Record last updated: 31 Jul 2007

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.