Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CAROL MOTES HEADLEY, RN DNSC CNN
Active Sole ProprietorNephrology Nurse · MEMPHIS, TN
Registration Details
- NPI Number
- 1528170172
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2006 (19.666605252403 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0000079694 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1030 JEFFERSON AVEMEMPHIS, TN, 381042127Browse TN providers · Browse ZIP 38104
- Phone
- 9015238990
- Fax
- 9015777487
- Primary Specialty
-
Nephrology Nurse
163WN0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.