Provider Demographics
NPI:1265651079
Name:LEE, ERIN (NP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 S FRONT ST
Mailing Address - Street 2:#44
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-2911
Mailing Address - Country:US
Mailing Address - Phone:901-246-4409
Mailing Address - Fax:
Practice Address - Street 1:530 OAK COURT DR STE 125
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-3771
Practice Address - Country:US
Practice Address - Phone:901-507-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6493363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily