Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Moon Psychiatric, LLC

Organization Family Nurse Practitioner · NPI 1255908026

Full Moon Psychiatric, LLC is a Family Nurse Practitioner in Memphis, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5810 Shelby Oaks Dr Ste B
Memphis, TN 38134-7315
Phone: (931) 371-7125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1255908026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alecia White — Owner/Operator · (931) 371-7125
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address2033 Fort Campbell Blvd, Ste A Pmb 1071, Clarksville, TN 37042

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