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Individual

TERESA A. BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
325 N. STATE OF FRANKLIN ROAD, GROUND FLOOR, JOHNSON CITY, TN 37604-6062
(423) 439-7320
(423) 439-7343
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6000
(423) 433-6140

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
52750
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3714474
GROUP MEDICARE PIN
TN
05
Q013069
TN
Enumeration date
04/28/2006
Last updated
01/16/2024
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