Individual
BLAIR HICKS TERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM / NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN17681
TN
367A00000X
Advanced Practice Midwife
Primary
APN0000017681
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010818
—
TN
Enumeration date
07/01/2013
Last updated
09/10/2020
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