Provider Demographics
NPI:1164412193
Name:LLOYD, RICK J (MSN FNP C)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:J
Last Name:LLOYD
Suffix:
Gender:M
Credentials:MSN FNP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 JENNINGS MILL LN.
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017
Mailing Address - Country:US
Mailing Address - Phone:480-205-1115
Mailing Address - Fax:
Practice Address - Street 1:6799 GREAT OAKS RD STE 200
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38138-2581
Practice Address - Country:US
Practice Address - Phone:901-259-0090
Practice Address - Fax:901-259-0091
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1416363L00000X
TN22788363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner