Healthcare Provider Details

I. General information

NPI: 1477471506
Provider Name (Legal Business Name): TERESA DENNY BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 HAMILL RD
HIXSON TN
37343-6614
US

IV. Provider business mailing address

9646 ETHRIDGE LN
OOLTEWAH TN
37363-9456
US

V. Phone/Fax

Practice location:
  • Phone: 423-495-7260
  • Fax:
Mailing address:
  • Phone: 423-762-9112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number158448
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: