Doctor Name: | MRS. TERRILYN D LEMONS |
NPI Number: | 1336304682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRNP |
License Number: | RN079871 |
Business Practice Address: | 4018 Park Place Cir Ellenwood, GA - 302941500 |
Business Phone Number: | 4042121024 |
Business Fax Number: | 4042121024 |
Mailing Address: | 4018 Park Place Cir, ELLENWOOD |
State: | GA |
Postal Code: | 302941500 |
Phone Number: | 4042121024 |
Fax Number: | 4042121024 |
NPI Enumeration Date: | 07/25/2008 |
NPI Last Update Date: | 07/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN079871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |