Provider Demographics
NPI:1396989372
Name:DURBIN, TERRICA MARIE (RN)
Entity type:Individual
Prefix:
First Name:TERRICA
Middle Name:MARIE
Last Name:DURBIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TERRICA
Other - Middle Name:MARIE
Other - Last Name:PREAST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:341 TRANE LANE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919
Mailing Address - Country:US
Mailing Address - Phone:865-588-0880
Mailing Address - Fax:865-584-3111
Practice Address - Street 1:341 TRANE LANE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:865-588-0880
Practice Address - Fax:865-584-3111
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14610367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered