Long, Terresa Ann
Long, Terresa Ann is an individual health care provider with primary practice located at 710 Sunset Blvd N Ste A , Sunset Beach NC 28468-4340. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Long, Terresa Ann can be contacted via phone (910) 663-2273.Contact Information
Primary practice address
710 Sunset Blvd N Ste A
Sunset Beach NC 28468-4340
Phone: (910) 663-2273
Fax: (910) 663-4050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5004840 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 84565 | North Carolina |
Profile Details
| NPI number | 1932413747 |
|---|---|
| LBN Legal business name | Long, Terresa Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2010 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932413747 | NPPES |
| North Carolina | Other | NC9163I564 | MEDICARE |
| North Carolina | Other | 17438 | MEDICARE |
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