Doctor Name: | TERRY LEE ROBERTS |
NPI Number: | 1184894966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | RN188172 |
Business Practice Address: | 500 Tennessee Waltz Pkwy Ashland City, TN - 370151234 |
Business Phone Number: | 8663629898 |
Business Fax Number: | |
Mailing Address: | 500 Tennessee Waltz Pkwy, ASHLAND CITY |
State: | TN |
Postal Code: | 370151234 |
Phone Number: | 8663629898 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2008 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN188172 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |