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General NPI Number Information
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NPI Number | 1255421665
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Entity Type | Individual
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Provider Name | TERESA LYNN COOK MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 782 WEATHERLY DR
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City | CLARKSVILLE
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State | TN
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Zip | 37043-8941
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Country | US
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Telephone | 931-645-3552
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Fax | 615-340-2669
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Provider Business Mailing Address
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Address Line | 3414 SHAGBARK CIR
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City | CLARKSVILLE
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State | TN
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Zip | 37043-3827
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Country | US
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Telephone | 931-216-5705
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Fax | 931-208-3552
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3011988
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APN7114
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN103725
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License Number State | TN
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