Provider Demographics
NPI:1699785709
Name:HILL, THERESA HERRIN (APN)
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:HERRIN
Last Name:HILL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MRS
Other - First Name:THERESA
Other - Middle Name:
Other - Last Name:HERRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:306 N CHANCERY ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2048
Mailing Address - Country:US
Mailing Address - Phone:931-474-4700
Mailing Address - Fax:931-474-4701
Practice Address - Street 1:306 N CHANCERY ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2048
Practice Address - Country:US
Practice Address - Phone:931-474-4700
Practice Address - Fax:931-474-4701
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005608363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3649680Medicaid
TN01032615OtherAMERIGROUP
TNTN0101OtherAMERICHOICE
Q33886Medicare UPIN
TN3649680Medicaid