Redmond, Teresa B.

Redmond, Teresa B. is an individual health care provider with primary practice located at 1314 19Th Ave , Meridian MS 39301-4116. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Redmond, Teresa B. can be contacted via phone (601) 703-4415.

Contact Information

Primary practice address
1314 19Th Ave Meridian MS 39301-4116
Phone: (601) 703-4415
Fax: (601) 703-4418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R504955 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X R504955 Mississippi

Profile Details

NPI number 1780682807
LBN Legal business name Redmond, Teresa B.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Feb 25th, 2010 - about 16 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 1780682807 NPPES
Other 730-00516 BLUE CROSS OF AL
Other 500003752 BLUE CROSS OF AL
MEDICAID 00118205 BLUE CROSS OF AL
MEDICAID 891001670 BLUE CROSS OF AL

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