Individual
DEBORAH TERRY
Active
Individual
DEBORAH TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA03896
OH
363LP0200X
Pediatric Nurse Practitioner
RN169332NP03896
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2231169
—
OH
01
—
78012812
MEDICAID
KY
Enumeration date
10/10/2005
Last updated
02/04/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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