Individual
TERESA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
700 W FOREST AVE FL 3, JACKSON, TN 38301-3937
(731) 421-6510
Mailing address
1064 CUFF RD, CAMDEN, TN 38320-7904
(731) 441-1838
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
30267
TN
363LF0000X
Family Nurse Practitioner
30267
TN
Other
Enumeration date
10/01/2021
Last updated
04/01/2026
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