Basic Information
Provider Information
NPI: 1467793679
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASLIN
FirstName: CATHERINE
MiddleName: SIMPSON
NamePrefix: MRS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SIMPSON
OtherFirstName: CATHERINE
OtherMiddleName: ANNE
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: FNP
OtherLastNameType: 5
Mailing Information
Address1: 965 RIDGE LAKE BLVD STE 103
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381209446
CountryCode: US
TelephoneNumber:  
FaxNumber: 9012278591
Practice Location
Address1: 3091 KIRBY WHITTEN PKWY
Address2:  
City: BARTLETT
State: TN
PostalCode: 38134
CountryCode: US
TelephoneNumber: 9017526963
FaxNumber: 9017594704
Other Information
ProviderEnumerationDate: 03/13/2013
LastUpdateDate: 12/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X128158TNN Nursing Service ProvidersRegistered Nurse 
363LF0000X17337TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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