Pernell, Ida

Pernell, Ida is an sole proprietor health care provider with primary practice located at 1900 Exeter Rd Suite 210, Germantown TN 38138-2954. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Pernell, Ida can be contacted via phone (901) 818-2160.

Contact Information

Primary practice address
1900 Exeter Rd Suite 210 Germantown TN 38138-2954
Fax: (901) 682-9522
Website:

Health care specialties

Profile Details

NPI number 1447201348
LBN Legal business name Pernell, Ida
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Jun 9th, 2011 - about 13 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 1447201348 NPPES
Tennessee MEDICAID 3625361
Tennessee Other 4011478
Tennessee Other 430074179
Tennessee Other 98971
Tennessee MEDICAID 00126210

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