Provider Demographics
NPI:1104218304
Name:SONES, CHRISTOPHER L (NP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:L
Last Name:SONES
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:LEE
Other - Last Name:SONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:6075 POPLAR AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-0114
Mailing Address - Country:US
Mailing Address - Phone:901-795-3600
Mailing Address - Fax:
Practice Address - Street 1:130 HIGHLAND PKWY
Practice Address - Street 2:
Practice Address - City:PICAYUNE
Practice Address - State:MS
Practice Address - Zip Code:39466
Practice Address - Country:US
Practice Address - Phone:601-358-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR865094363LA2100X, 363LF0000X
LAAP08207363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care