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NPI Code Detail

MEDICARE: MS. KRISTI MICHELLE TERRY FNP-C

MEDICARE: MS. KRISTI MICHELLE TERRY 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
1363LF0000XFamily Nurse PractitionerAP127869TX
2363L00000XNurse PractitionerAP127869TX

General Provider Information

NPI Number : 1861887309
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTI MICHELLE TERRY FNP-C
Provider Business Mailing Address
First Line : 2580 COLLIN MCKINNEY PKWY APT 3326
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-5255
Country : US
Telephone Number : 601-906-4456
Fax Number :
Provider Business Practice Location Address
First Line : 4400 W GREEN OAKS BLVD
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-5608
Country : US
Telephone Number : 800-729-9050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 04/26/2016

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