VICKI TERRY RN MSN PMHNP-BC PLLC NPI 1689051096

NPI Information

NPI: 1689051096
Provider Name: VICKI TERRY RN, MSN, PMHNP-BC, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2704 WASHINGTON ST
GREENVILLE, TX
ZIP 75401
Phone: (903) 454-7200
Get Directions

VICKI TERRY RN, MSN, PMHNP-BC, PLLC is a psychiatric/mental health nurse practitioner in Greenville, TX. VICKI TERRY RN, MSN, PMHNP-BC, PLLC NPI is 1689051096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2704 WASHINGTON ST
GREENVILLE, TX
ZIP 75401-114
Phone: (903) 454-7200

The provider's authorized official is Vicki Terry .
The authorized official title is Owner and has the following contact phone number (214) 734-4549.

The enumeration date for this NPI number is 5/5/2015 and was last updated on 5/5/2015.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP111242	TEXAS	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	P94729	MEDICARE UPIN

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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