Individual
MRS. TERESEA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
Mailing address
136 TRACY RD, INDIAN MOUND, TN 37079-5459
(931) 801-8635
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
257351
TN
164W00000X
Licensed Practical Nurse
Primary
0000088167
TN
Other
Enumeration date
11/10/2016
Last updated
02/23/2026
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