Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 0000025534 | TN |
NPI | 1700431095 |
---|---|
Provider Name | Terri J Hooper |
First Address | Morristown, TN 37814-4621 |
Second Address | Morristown, TN 37814-4621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2019 |
Last Update Date | 05/08/2019 |