Dermatology, Dermatopathology
Mrs. DALLAS PROVENCE NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1619556230 · enumerated 2021-04-02 · record updated 2021-04-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: DALLAS DAVIS
Addresses and phones
- Mailing address 295 PANDORA ST, MEMPHIS, TN, 38117-2854 (901) 338-1340 Google Maps Apple Maps OpenStreetMap
- Practice location 6254 POPLAR AVE, MEMPHIS, TN, 38119-4713 (901) 624-3333 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, Dermatopathology 207ND0900X · Primary · License 28973 TN
In this directory
Locations and evidence
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Practice location
MEMPHIS, TN, 381194713
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.