Individual
MRS. TERRA MICAH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
710 CARL PERKINS PKWY, TIPTONVILLE, TN 38079-1678
(731) 253-6690
Mailing address
8794 MEADOWLARK CIR, SOUTH FULTON, TN 38257-7927
(270) 627-0662
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
27079
TN
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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