Doctor Name: | TERESA JEAN NORWOOD |
NPI Number: | 1013984202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | APN 5627 |
Business Practice Address: | 702 Grove St Loudon, TN - 377741483 |
Business Phone Number: | 8654589080 |
Business Fax Number: | 8654589096 |
Mailing Address: | 2236 Misty Ridge Dr, LENOIR CITY |
State: | TN |
Postal Code: | 377725499 |
Phone Number: | 8659888876 |
Fax Number: | 8654589096 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN 5627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |