Provider Demographics
NPI:1750989521
Name:MILAM, APRIL NICOLE (LPN)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:NICOLE
Last Name:MILAM
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 JEFFERSON AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-4900
Mailing Address - Country:US
Mailing Address - Phone:901-287-4706
Mailing Address - Fax:901-287-4701
Practice Address - Street 1:600 JEFFERSON AVE STE 350
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4900
Practice Address - Country:US
Practice Address - Phone:901-287-4706
Practice Address - Fax:901-287-4701
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN86196164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse