Mcadoo, Justin

Mcadoo, Justin is an sole proprietor health care provider with primary practice located at 871 Ridgeway Loop Rd Ste 108 , Memphis TN 38120-4026. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mcadoo, Justin can be contacted via phone (901) 871-0170.

Contact Information

Primary practice address
871 Ridgeway Loop Rd Ste 108 Memphis TN 38120-4026
Phone: (901) 871-0170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C003113 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 12785 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12785 Tennessee
Nursing Service Providers / Registered Nurse 163W00000X RN141683 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN 12785 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 901353 Mississippi
Nursing Service Providers / Registered Nurse 163W00000X 141683 Tennessee

Profile Details

NPI number 1689895245
LBN Legal business name Mcadoo, Justin
Credentials DNP, CRNA, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Apr 20th, 2023 - about 2 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 1689895245 NPPES
Tennessee Other 1689895245 RAILROAD MEDICARE
Tennessee MEDICAID 3600050 RAILROAD MEDICARE
Tennessee MEDICAID 167862001 RAILROAD MEDICARE
Tennessee Other 84525 RAILROAD MEDICARE
Tennessee Other 4156663 RAILROAD MEDICARE
Tennessee MEDICAID 08254702 RAILROAD MEDICARE

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