Healthcare Provider Details

I. General information

NPI: 1427096130
Provider Name (Legal Business Name): DELLA TERESA HEMPHILL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DELLA TERESA LANNOM NP

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 W MAIN ST
WAVERLY TN
37185-1510
US

IV. Provider business mailing address

PO BOX 634760
CINCINNATI OH
45263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 931-299-2945
  • Fax: 931-299-4293
Mailing address:
  • Phone: 865-292-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN6272
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: