Wound Practitioner, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

7673 Issued in TN

Legal business name

WOUND PRACTITIONER, LLC

Practice address

3960 New Covington Pike
Memphis, TN 38128-2504

Phone

(901) 753-3647

NPI assigned

Aug 28, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Hurlow, GNP-BC

Title

Owner

Phone

(901) 486-1902

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1841548583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 WINDY OAKS CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381395206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-753-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND PRACTITIONER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "HURLOW",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-486-1902",
        "authorized_official_credential": "GNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "7673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Worthen, MD
• Fred Auston Wortman III, P.T., A.T.C., J.D.
• Wound Care Anywhere-TN PC
• Wound Healing Care Specialists TN PC
• Wound Management Specialists TN PLLC
• Michael Wozny, MD
• Miriam Wozny, D.O.
• WP Supply East
• Nichole Wray, CRNA
• Sarah Michelle Wredling, FNP

• Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.