Provider Demographics
NPI:1114565538
Name:SAULSBERRY, LASHANDRA NICOLE
Entity type:Individual
Prefix:
First Name:LASHANDRA
Middle Name:NICOLE
Last Name:SAULSBERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5865 RIDGEWAY CENTER PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-4014
Mailing Address - Country:US
Mailing Address - Phone:901-820-4600
Mailing Address - Fax:901-767-0704
Practice Address - Street 1:5865 RIDGEWAY CENTER PKWY
Practice Address - Street 2:STE 300
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-4014
Practice Address - Country:US
Practice Address - Phone:901-602-2935
Practice Address - Fax:901-589-8768
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26914363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health