Davis, Teresa Dianne

Davis, Teresa Dianne is an individual health care provider with primary practice located at 529 W Commerce St , Lewisburg TN 37091-3219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Teresa Dianne can be contacted via phone (931) 270-9729.

Contact Information

Primary practice address
529 W Commerce St Lewisburg TN 37091-3219
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000015005 Tennessee

Profile Details

NPI number 1376863191
LBN Legal business name Davis, Teresa Dianne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Oct 11th, 2011 - about 13 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 1376863191 NPPES
Tennessee Other F0510008 AANP

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