Provider Demographics
NPI:1356416424
Name:SPECK, PATRICIA MCMURRY (DNSC, APN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MCMURRY
Last Name:SPECK
Suffix:
Gender:F
Credentials:DNSC, APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 MADISON AVE
Mailing Address - Street 2:SUITE 939
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-3438
Mailing Address - Country:US
Mailing Address - Phone:901-448-6098
Mailing Address - Fax:901-448-4121
Practice Address - Street 1:920 MADISON AVE
Practice Address - Street 2:SUITE 939
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-3438
Practice Address - Country:US
Practice Address - Phone:901-448-6098
Practice Address - Fax:901-448-4121
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005753363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily