King, Terra

King, Terra is an individual health care provider with primary practice located at 758 S Willow Ave , Cookeville TN 38501-3840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. King, Terra can be contacted via phone (931) 526-6173.

Contact Information

Primary practice address
758 S Willow Ave Cookeville TN 38501-3840
Phone: (931) 526-6173
Fax: (931) 526-5084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 11247 Tennessee

Profile Details

NPI number 1093018541
LBN Legal business name King, Terra
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2010
Last updated Mar 7th, 2023 - about 3 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 1093018541 NPPES
Tennessee Other 11247 STATE LICENSE

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