Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TERRI D CONGLETON
Active
Individual
TERRI D CONGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002271A
IN
363LF0000X
Family Nurse Practitioner
Primary
4975P
KY
Other
Enumeration date
09/26/2006
Last updated
09/13/2018
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