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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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