Individual
TERESA A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2279 PARKSVILLE RD, BENTON, TN 37307-3803
(423) 338-4533
Mailing address
150 BRANNON LN, BENTON, TN 37307-5850
(423) 338-4533
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000074330
TN
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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