Provider Demographics
NPI:1417552605
Name:GARRETT, CHRISTIAN MARIE ANN (DNP, APRN, CPNP-PC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:MARIE ANN
Last Name:GARRETT
Suffix:
Gender:F
Credentials:DNP, APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1987 WIRILY LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-4001
Mailing Address - Country:US
Mailing Address - Phone:901-730-2624
Mailing Address - Fax:
Practice Address - Street 1:1444 E SHELBY DR STE 317
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-7257
Practice Address - Country:US
Practice Address - Phone:901-396-8281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28194363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty