Moody, Terri N

Moody, Terri N is an individual health care provider with primary practice located at 304 S Rhodes St , West Memphis AR 72301-4215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moody, Terri N can be contacted via phone (870) 733-3867.

Contact Information

Primary practice address
304 S Rhodes St West Memphis AR 72301-4215
Phone: (870) 733-3867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5018111 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 212467 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1132750 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A003043 Arkansas

Profile Details

NPI number 1750577698
LBN Legal business name Moody, Terri N
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2007
Last updated May 17th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750577698 NPPES
Arkansas MEDICAID 166505758

Popular Providers