Individual
DR. TWILA WORLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP PMHNP
Contact information
Practice address
708 W FOREST AVE, JACKSON, TN 38301
(731) 541-7070
(731) 541-7075
Mailing address
1050 N ARGONNE RD STE 102, SPOKANE VALLEY, WA 99212-6011
(509) 209-8990
(509) 919-4877
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60868627
WA
367500000X
Certified Registered Nurse Anesthetist
104755
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03470247
—
MS
05
—
3633676
—
TN
01
—
4089638
BLUE CROSS
TN
01
—
P00216880
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
07/30/2018
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