Provider Demographics
NPI:1649717588
Name:COX, REBECCA RUTH (CNM, MSN, BSN)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:RUTH
Last Name:COX
Suffix:
Gender:F
Credentials:CNM, MSN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3638 MACON RD
Mailing Address - Street 2:C/O THE MORNING CENTER
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-2209
Mailing Address - Country:US
Mailing Address - Phone:901-209-0195
Mailing Address - Fax:
Practice Address - Street 1:3638 MACON RD
Practice Address - Street 2:C/O THE MORNING CENTER
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-2209
Practice Address - Country:US
Practice Address - Phone:901-209-0195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000021776367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife