Ingrid Marie Blay Cantrell
Ingrid Marie Blay Cantrell is a Physician Assistant in Memphis, Tennessee. Qualified in 2007, 19 years ago. Practices with Psf PLLC, a 99-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 19
- Licensed in
- TN
- In the registry since
- 2007
Practice location Address checks out
6401 Poplar Ave Ste 300Memphis, TN 38119-4810
Phone: (800) 999-1249
Fax: (855) 656-7325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 1562 (TN) |
|---|
Record details
| NPI number | 1851573349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 27, 2007 |
| Last updated in NPPES | September 13, 2024 |
| Certification date | September 13, 2024 |
| Mailing address | 9800 Shelbyville Rd Ste 220, Louisville, KY 40223-2992 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Psf Pllc — 99 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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