# TERESA TALLON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336131614
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN262226 | OH | — |
| 163WW0000X | Wound Care Registered Nurse | 1074586 | KY | — |
| 363L00000X | Nurse Practitioner | 3003070 | KY | Yes |
| 363L00000X | Nurse Practitioner | APRN.CNP.06510 | OH | — |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 11/29/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2376861 | — | OH |
| 05 | — | 78003845 | — | KY |