Provider Demographics
NPI:1891541355
Name:CHRISTENSEN, CHERRIS LADAI
Entity type:Individual
Prefix:MS
First Name:CHERRIS
Middle Name:LADAI
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JACQUELINE
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3526 GREENTREE DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-3412
Mailing Address - Country:US
Mailing Address - Phone:312-509-1301
Mailing Address - Fax:
Practice Address - Street 1:3526 GREENTREE DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-3412
Practice Address - Country:US
Practice Address - Phone:312-509-1301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide