Doctor Name: | MRS. TERESA STACY MCPHERSON |
NPI Number: | 1144423989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP1738412 |
Business Practice Address: | 301 N Alexander St Plant City, FL - 335634303 |
Business Phone Number: | 8137578343 |
Business Fax Number: | |
Mailing Address: | 1003 River Rd, MELBOURNE BEACH |
State: | FL |
Postal Code: | 329512531 |
Phone Number: | 3217266119 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | ARNP1738412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |