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

Madison Brooke Faulkner

Individual provider Physician Assistant · NPI 1790678829

Madison Brooke Faulkner is a Physician Assistant in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2025

Practice location Address checks out

262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone: (901) 595-3300
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6763 (TN)

Record details

NPI number1790678829
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

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