Individual
TERRYE MASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
5625 POPLAR AVE, MEMPHIS, TN 38119-3816
(901) 761-1220
(901) 763-4332
Mailing address
5625 POPLAR AVE, MEMPHIS, TN 38119-3816
(901) 761-1220
(901) 763-4332
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
APN6208
TN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
TN6208
TN
Other
Enumeration date
07/06/2006
Last updated
02/14/2012
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