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

Well Child of Mississippi LLC

Organization Family Medicine Physician · NPI 1508120387

Well Child of Mississippi LLC is a Family Medicine Physician in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
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

1785 Nonconnah Blvd Ste 120
Memphis, TN 38132-2112
Phone: (901) 728-5858
Fax: (901) 274-5858
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 13712 (TN)

Record details

NPI number1508120387
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWci Management Services LLC
Authorized official Karen Pease — Ceo · (901) 728-5858
NPI enumeratedJune 27, 2012
Last updated in NPPESAugust 25, 2014
Mailing address1785 Nonconnah Blvd Ste 120, Memphis, TN 38132-2112

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