Provider Demographics
NPI:1114310711
Name:SNYDER, KATE WEEDEN (FNP-C)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:WEEDEN
Last Name:SNYDER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6799 GREAT OAKS RD STE 250
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2584
Mailing Address - Country:US
Mailing Address - Phone:901-281-8300
Mailing Address - Fax:901-259-9737
Practice Address - Street 1:526 HALLE PARK DR
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-7085
Practice Address - Country:US
Practice Address - Phone:901-910-3246
Practice Address - Fax:901-316-5427
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily