Gipson, Tanjala Trinette

Gipson, Tanjala Trinette is an individual health care provider with primary practice located at 51 N Dunlap St Ste 400 , Memphis TN 38105-4625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Gipson, Tanjala Trinette can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
51 N Dunlap St Ste 400 Memphis TN 38105-4625
Fax: (901) 387-5143
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 54122 Tennessee

Profile Details

NPI number 1528113602
LBN Legal business name Gipson, Tanjala Trinette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Apr 14th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528113602 NPPES
Tennessee MEDICAID PENDING

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