Provider Demographics
NPI:1922307768
Name:LEFLORE-FIFER, MELANIE KRA'SHAWNA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:KRA'SHAWNA
Last Name:LEFLORE-FIFER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4755 WHITE PASS DR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-3461
Mailing Address - Country:US
Mailing Address - Phone:901-628-3934
Mailing Address - Fax:901-861-7270
Practice Address - Street 1:1265 UNION AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3415
Practice Address - Country:US
Practice Address - Phone:901-516-7600
Practice Address - Fax:901-516-8394
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN15493363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily