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NPI Code Detail

MEDICARE: TERRI J ST CLAIR FNP-C

MEDICARE: TERRI J ST CLAIR FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5012576NC
2363LF0000XFamily Nurse Practitioner209015994IL

General Provider Information

NPI Number : 1295265098
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI J ST CLAIR FNP-C
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 885 SUMMIT CROSSING PL
Second Line :
City : GASTONIA
State : NC
Zip : 28054-2193
Country : US
Telephone Number : 704-316-4979
Fax Number : 704-316-4978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 02/11/2026

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Directions to “ TERRI J ST CLAIR FNP-C” Practice Location

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