CONNIE JOELLEN TERRELL FNP-BC NPI 1932502218

NPI Information

NPI: 1932502218
Provider Name: CONNIE JOELLEN TERRELL, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CONSULTANTS IN PAIN MANAGEMENT, P.C.

PECOS Registration: Yes

Address:
1508 TOMBRAS AVE
EAST RIDGE, TN
ZIP 37412
Phone: (423) 867-4969
Get Directions

Connie Joellen Terrell, FNP-BC is a family nurse practitioner in East Ridge, TN with 10 years of experience. Connie Joellen Terrell, FNP-BC NPI is 1932502218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1508 TOMBRAS AVE
EAST RIDGE, TN
ZIP 37412-720
Phone: (423) 867-4969
Fax: (423) 867-4971

The NPI 1932502218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 3/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	19177	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6031898	OTHER	TENNESSEE	BCBS OF TENNESSEE
2	Q010303	MEDICAID	TENNESSEE
3	10350I4354	MEDICARE PIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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