Individual
MS. TERESA A AMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1404 WINTER DR, LEBANON, TN 37087-2530
(615) 444-4300
Mailing address
1404 WINTER DR, LEBANON, TN 37087-2530
(615) 444-4300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13222
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5047P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326156712
NPI
—
05
—
1512314
—
TN
01
—
33417991
MEDICARE
TN
01
—
Q71831
UPIN
—
Enumeration date
08/27/2006
Last updated
06/09/2011
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