Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 23211 | TN |
NPI | 1003335647 |
---|---|
Provider Name | Bria J Terrell |
First Address | Murfreesboro, TN 37129-2598 |
Second Address | Murfreesboro, TN 37129-2598 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2017 |
Last Update Date | 09/09/2019 |