| Doctor Name: | TERESA K PEARSON |
| NPI Number: | 1952733149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | TMP147287 |
| Business Practice Address: | 609 Liberty St Clay Center, KS - 674321564 |
| Business Phone Number: | 7856322181 |
| Business Fax Number: | 7856322309 |
| Mailing Address: | 609 Liberty St, CLAY CENTER |
| State: | KS |
| Postal Code: | 674321564 |
| Phone Number: | 7856322181 |
| Fax Number: | 7856322309 |
| NPI Enumeration Date: | 07/30/2013 |
| NPI Last Update Date: | 07/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | TMP147287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |