Healthcare Provider Details

I. General information

NPI: 1164962049
Provider Name (Legal Business Name): TERI LEMAY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 GREG KRUSCHEK AVE
NOME AK
99762
US

IV. Provider business mailing address

112 BLACKWOOD DR
SUMMERTOWN TN
38483-3802
US

V. Phone/Fax

Practice location:
  • Phone: 907-446-3311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number119311
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number200546
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number120050
License Number StateAK
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26369
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: