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NPI Code Detail

MEDICARE: MS. LISA ANN TERRY NP

MEDICARE: MS. LISA ANN TERRY NP
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
1363LF0000XFamily Nurse PractitionerAPN0000006061TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578510970
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA ANN TERRY NP
Provider Business Mailing Address
First Line : 1453 HOPE WAY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-3140
Country : US
Telephone Number : 615-893-9390
Fax Number : 615-893-4162
Provider Business Practice Location Address
First Line : 1453 HOPE WAY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-3140
Country : US
Telephone Number : 615-893-9390
Fax Number : 615-893-4162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 08/16/2022

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