Berry, Teri Joyce

Berry, Teri Joyce is an sole proprietor health care provider with primary practice located at 9521 Rakers Rd , Carlyle IL 62231-3209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berry, Teri Joyce can be contacted via phone (618) 401-0861.

Contact Information

Primary practice address
9521 Rakers Rd Carlyle IL 62231-3209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009350 Illinois

Profile Details

NPI number 1114298437
LBN Legal business name Berry, Teri Joyce
Credentials DNP, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2012
Last updated Dec 31st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114298437 NPPES
Illinois Other 209009350 LICENSE

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