Porch, Laura
Porch, Laura is an individual health care provider with primary practice located at 8000 Centerview Pkwy Ste 300 , Cordova TN 38018-4254. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Porch, Laura can be contacted via phone (901) 747-1111.Contact Information
Primary practice address
8000 Centerview Pkwy Ste 300
Cordova TN 38018-4254
Phone: (901) 747-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 91972 | Tennessee |
Profile Details
| NPI number | 1487609509 |
|---|---|
| LBN Legal business name | Porch, Laura |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Nov 16th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487609509 | NPPES |
| Tennessee | Other | 4170692 | BC BS TN |
| Tennessee | MEDICAID | PENDING | BC BS TN |
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