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NPI Code Detail

MEDICARE: MRS. TERESA LYNN PISANI PA C

MEDICARE: MRS. TERESA LYNN PISANI PA 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
1363A00000XPhysician AssistantPA0000000531TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34168268OTHERTNBCBST

General Provider Information

NPI Number : 1821173840
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TERESA LYNN PISANI PA C
Provider Business Mailing Address
First Line : 854 W JAMES CAMPBELL BLVD
Second Line : SUITE 303
City : COLUMBIA
State : TN
Zip : 38401-4659
Country : US
Telephone Number : 931-540-4255
Fax Number : 931-490-4654
Provider Business Practice Location Address
First Line : 5421 MAIN ST
Second Line :
City : SPRING HILL
State : TN
Zip : 37174-4410
Country : US
Telephone Number : 931-486-2500
Fax Number : 931-486-3748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 01/21/2026

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