Provider Information for 1205533007
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KRISTENA TERRY PARTRIDGE MSW, LCSW
Sex: Female
NPI: 1205533007
Last Updated: 2023-12-15
Certification Date: 2023-12-01
Certification Date: 2023-12-01
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1205533007 | ||||||||||||
| Enumeration Date | 2023-02-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 20 LAKE BREEZE CV OAKLAND, TN 38060-3499 United States Phone: 901-590-9177 | Fax: | ||||||||||||
| Primary Practice Address | 6373 N QUAIL HOLLOW RD STE 202 MEMPHIS, TN 38120-1405 United States Phone: 901-441-8322 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 20 LAKE BREEZE CV | ||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|