Individual
TERRI MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN WHNP
Contact information
Practice address
607 3RD AVE, JASPER, IN 47546-3636
(812) 482-2233
Mailing address
201 SPRING MEADOW CIR, SALEM, IN 47167-9430
(812) 620-1072
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
28114242A
IN
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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