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NPI · 1619556230 · NPPES-sourced

Mrs. Dallas Provence NP

ActiveDermatopathology Physician
NPI Number
1619556230
Type 1 · Individual
Taxonomy Code
207ND0900X
Contact
(901) 624-3333
License TN · 28973
Last Updated
Enumerated
Primary practice addressTN · 38119-4713
6254 Poplar AveMemphis, TN 38119-4713
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Also known as

  • Formerly known asDavis, Dallas Jordan

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1619556230 is registered to Mrs. Dallas Provence NP, a Dermatopathology Physician practising at 6254 Poplar Ave in Memphis, Tennessee. Dermatopathology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mrs. Dallas Provence NP has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mrs. Dallas Provence NP accepts. To confirm in-network status with your specific health plan, contact Mrs. Dallas Provence NP directly at (901) 624-3333.

Frequently asked

Yes. NPI 1619556230 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatopathology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (901) 624-3333.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mrs. Dallas Provence NP is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207ND0900X
Last updated
Enumerated
StatusActive
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