Sutton, Teresa Marie

Sutton, Teresa Marie is an individual health care provider with primary practice located at 101 Potters Ln , Clarksville IN 47129-1017. 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 / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sutton, Teresa Marie can be contacted via phone (443) 383-9300.

Contact Information

Primary practice address
101 Potters Ln Clarksville IN 47129-1017
Phone: (443) 383-9300
Fax: (855) 866-8710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28145560A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71007683A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71007683A Indiana

Profile Details

NPI number 1952817397
LBN Legal business name Sutton, Teresa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2017
Last updated Dec 15th, 2022 - about 2 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 1952817397 NPPES
Indiana MEDICAID 300021011

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