Tucker, Teresa D

Tucker, Teresa D is an individual health care provider with primary practice located at 765 Florence Rd , Savannah TN 38372-3451. 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 / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Tucker, Teresa D can be contacted via phone (731) 925-2300.

Contact Information

Primary practice address
765 Florence Rd Savannah TN 38372-3451
Phone: (731) 925-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000013057 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 13057 Tennessee

Profile Details

NPI number 1780866830
LBN Legal business name Tucker, Teresa D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2007
Last updated Dec 13th, 2022 - about 4 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 1780866830 NPPES
Other 613360505 DOL FECA
Other APN0000013057 DOL FECA
MEDICAID 3341539 DOL FECA

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