| Doctor Name: | QUANESHIA R FARRIS |
| NPI Number: | 1073856514 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 173845 |
| Business Practice Address: | 3091 Kirby Whitten Pkwy Bartlett, TN - 38134 |
| Business Phone Number: | 9017526963 |
| Business Fax Number: | 9017594704 |
| Mailing Address: | 2859 Van Leer Drive, MEMPHIS |
| State: | TN |
| Postal Code: | 38133 |
| Phone Number: | 9017515513 |
| Fax Number: | 9017515540 |
| NPI Enumeration Date: | 04/03/2013 |
| NPI Last Update Date: | 04/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 173845 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |