Owens, Theresa Tickle

Owens, Theresa Tickle is an individual health care provider with primary practice located at 710 W Ridge Rd Ste 220 , Wytheville VA 24382-1095. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, 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. Owens, Theresa Tickle can be contacted via phone (276) 223-3200.

Contact Information

Primary practice address
710 W Ridge Rd Ste 220 Wytheville VA 24382-1095
Phone: (276) 223-3200
Fax: (276) 223-0617
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001187004 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0017140293 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024169460 Virginia

Profile Details

NPI number 1124395892
LBN Legal business name Owens, Theresa Tickle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2011
Last updated Jul 4th, 2019 - about 7 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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