TTRN MEDICAL SERVICES PLLC NPI 1114400587

NPI Information

NPI: 1114400587
Provider Name: TTRN MEDICAL SERVICES PLLC

Doing Business As: PREMIER FAMILY MEDICINE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1123 N MAIN ST
DYER, TN
ZIP 38330
Phone: (731) 692-2853
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TTRN MEDICAL SERVICES PLLC is a family nurse practitioner in Dyer, TN. TTRN MEDICAL SERVICES PLLC NPI is 1114400587. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Family Medicine.

The provider's business location address is:

1123 N MAIN ST
DYER, TN
ZIP 38330-019
Phone: (731) 692-2853

The provider's authorized official is Kalie Foust .
The authorized official title is Owner and has the following contact phone number (731) 231-0185.

The CLIA number assigned to this NPI record is 44D0925145 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2018 and was last updated on 5/12/2022.

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			Yes

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: 5/5/2024

NPI Synchronization or Removal

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