Worlock, Twila

Worlock, Twila is an individual health care provider with primary practice located at 708 W Forest Ave , Jackson TN 38301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Worlock, Twila can be contacted via phone (731) 541-7070.

Contact Information

Primary practice address
708 W Forest Ave Jackson TN 38301
Phone: (731) 541-7070
Fax: (731) 541-7075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 104755 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60868627 Washington

Profile Details

NPI number 1871531616
LBN Legal business name Worlock, Twila
Credentials DNP PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 30th, 2018 - about 6 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 1871531616 NPPES
Tennessee Other 4089638 BLUE CROSS
Tennessee MEDICAID 03470247 BLUE CROSS
Tennessee MEDICAID 3633676 BLUE CROSS
Tennessee Other P00216880 BLUE CROSS

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