Healthcare Provider Details

I. General information

NPI: 1376711721
Provider Name (Legal Business Name): TAMMY S TERRY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAMMY S WARDEN NP

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 GREAT CIRCLE RD FL 3
NASHVILLE TN
37228-1317
US

IV. Provider business mailing address

1785 W LEE HWY
WYTHEVILLE VA
24382-1437
US

V. Phone/Fax

Practice location:
  • Phone: 615-436-9060
  • Fax: 615-235-9725
Mailing address:
  • Phone: 276-228-6499
  • Fax: 276-228-6145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024164736
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: