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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIDEADERICK LAMAR GREGORY, PMHNP

Active Sole Proprietor

LIDEADERICK LAMAR GREGORY, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MEMPHIS, Tennessee. NPI 1720859762 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · MEMPHIS, TN

Registration Details

NPI Number
1720859762
Provider Type
Individual
Gender
Male
NPI Issued
Jan 9, 2024 (2.6106735282733 yrs)
Last Updated
Jan 3, 2026
License
40177 (TN)
Sole Proprietor
Yes

Practice Information

Address
3030 COVINGTON PIKE STE 200
MEMPHIS, TN, 381285048
Browse TN providers · Browse ZIP 38128
Phone
9012668760

Other Psychiatric/Mental Health Nurse Practitioner Providers in MEMPHIS, TN

Name Credential NPI
MS. AGNES SHIRLEY PARKER ARNP 1124023932
MS. ANGELA C HAMMOND WHNP, APN, MSN 1326046707
MS. SUSAN M. ANDREWS APRNBC 1902897630
MARY JANE ALLEN MSN, APRN, BC 1841270972
MRS. LUCRETIA M DANIEL NP 1154389955
CAROLYN CULLEN WILLIAMS FNP 1881635316
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.