Provider Demographics
NPI:1114331097
Name:NOVICK, REBECCA FRIEDMAN (NP)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:FRIEDMAN
Last Name:NOVICK
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:965 RIDGE LAKE BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9401
Mailing Address - Country:US
Mailing Address - Phone:877-348-1281
Mailing Address - Fax:901-227-3206
Practice Address - Street 1:80 HUMPHREYS CENTER DR STE 330
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2363
Practice Address - Country:US
Practice Address - Phone:901-752-6131
Practice Address - Fax:901-752-6170
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2024-08-15
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Provider Licenses
StateLicense IDTaxonomies
TN30902363LA2200X
TN50576163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse