Provider Demographics
NPI:1306675095
Name:POSTON, ANNA JEAN RIDGE (FNP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:JEAN RIDGE
Last Name:POSTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 NORTHWOOD WEST CV
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-1562
Mailing Address - Country:US
Mailing Address - Phone:870-919-1394
Mailing Address - Fax:
Practice Address - Street 1:943 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-7734
Practice Address - Country:US
Practice Address - Phone:901-485-0624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS906749207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine