Terrell Clinic Llc
LBN: Terrell Clinic Llc
Terrell Clinic Llc is an health care organization with primary practice located at 701 East Reelfoot Ave Suite 100, Union City TN 38261. The organization 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 the primary health care specialty.
Terrell Clinic Llc can be contacted via phone (731) 885-9687, or through Terrell, Renea Nagel via phone (731) 885-9687.
Contact Information
Primary practice address
701 East Reelfoot Ave Suite 100
Union City TN 38261
Phone: (731) 885-9687
Fax: (731) 885-6643
Website:
Authorized official contact:
Name: Terrell, Renea Nagel Certified Family Nurse Practitioner (CFNP)
Phone: (731) 885-9687
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN92056 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APN6675 | Tennessee |
Profile Details
| NPI number | 1053581744 |
|---|---|
| LBN Legal business name | Terrell Clinic Llc |
| DBA Doing business as | |
| Authorized official | Terrell, Renea Nagel Certified Family Nurse Practitioner (CFNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 10th, 2008 |
| Last updated | Dec 4th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053581744 | NPPES |
| Tennessee | Other | 1619977584 | INDIVIDUAL NPI |
| Tennessee | Other | 1801193297 | INDIVIDUAL NPI |
| Tennessee | MEDICAID | 1054900 | INDIVIDUAL NPI |
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