Tallon, Teresa

Tallon, Teresa is an individual health care provider with primary practice located at 1500 James Simpson Jr Way St. Elizabeth Healthcare Wound Care Dept, Covington KY 41011-0801. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tallon, Teresa can be contacted via phone (859) 655-1100.

Contact Information

Primary practice address
1500 James Simpson Jr Way St. Elizabeth Healthcare Wound Care Dept Covington KY 41011-0801
Phone: (859) 655-1100
Fax: (859) 655-1102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN262226 Ohio
Nursing Service Providers / Wound Care 163WW0000X 1074586 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.06510 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3003070 Kentucky

Profile Details

NPI number 1336131614
LBN Legal business name Tallon, Teresa
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Nov 29th, 2023 - about last year

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 1336131614 NPPES
Kentucky MEDICAID 78003845
Kentucky MEDICAID 2376861

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