| Doctor Name: | MS. THERESA MAXINE BUCK |
| NPI Number: | 1043499940 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | APN0000006399 |
| Business Practice Address: | 1100 Smithville Hwy Suite 123 Mc Minnville, TN - 37110 |
| Business Phone Number: | 9315079355 |
| Business Fax Number: | 9315079357 |
| Mailing Address: | 1100 Smithville Hwy, Suite 123 MC MINNVILLE |
| State: | TN |
| Postal Code: | 37110 |
| Phone Number: | 9315079355 |
| Fax Number: | 9315079357 |
| NPI Enumeration Date: | 10/26/2007 |
| NPI Last Update Date: | 12/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | APN0000006399 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |