Individual
TERESA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 GREYSTONE SQ, JACKSON, TN 38305-3589
(731) 467-5515
Mailing address
272 COMMERCE CENTER CIR, JACKSON, TN 38301-3233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000205421
TN
363L00000X
Nurse Practitioner
APN0000025986
TN
363LF0000X
Family Nurse Practitioner
APN0000025986
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000025986
TN
Other
Enumeration date
08/07/2019
Last updated
08/15/2025
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