Provider Demographics
NPI:1083085856
Name:NURSING SOLUTIONS OUTPATIENT COUNSELING SERVICES
Entity Type:Organization
Organization Name:NURSING SOLUTIONS OUTPATIENT COUNSELING SERVICES
Other - Org Name:NURSING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:9013-375-6421
Mailing Address - Street 1:4311 FISKE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38135-9273
Mailing Address - Country:US
Mailing Address - Phone:901-216-0013
Mailing Address - Fax:
Practice Address - Street 1:4311 FISKE VALLEY DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38135-9273
Practice Address - Country:US
Practice Address - Phone:901-216-0013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN60695251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care