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

Laura Marie Nathan, NP-C

Individual provider Family Nurse Practitioner · NPI 1104468669

Laura Marie Nathan, NP-C is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2019, 7 years ago. Practices with Specialty Physician Group LLC, a 101-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1211 Union Ave Ste 965
Memphis, TN 38104-6638
Phone: (901) 435-8550
Fax: (901) 516-0933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26434 (TN)

Record details

NPI number1104468669
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESOctober 16, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Specialty Physician Group Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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