Provider Demographics
NPI:1881273654
Name:FLINT, REBEKAH BRADSHAW (CPNP-AC/PC)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:BRADSHAW
Last Name:FLINT
Suffix:
Gender:F
Credentials:CPNP-AC/PC
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Mailing Address - Street 1:10014 WHITTMORE PARK LN
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-1098
Mailing Address - Country:US
Mailing Address - Phone:901-634-4388
Mailing Address - Fax:
Practice Address - Street 1:262 DANNY THOMAS PL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-3678
Practice Address - Country:US
Practice Address - Phone:901-595-0440
Practice Address - Fax:901-595-1591
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000027894363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics