person
Teresa S Vickers, NP
Gerontology Nurse Practitioner in Warner Robins, Georgia
NPI 1275060295

Teresa S Vickers is a Gerontology Nurse Practitioner based in Warner Robins, GA and is specialized in Gerontology. Teresa S Vickers practices in Warner Robins, GA and has the professional credentials of NP. The NPI Number for Teresa S Vickers is 1275060295 and holds a License No. RN149574 (Georgia).

The current practice location address for Teresa S Vickers is 1860 Watson Blvd, Warner Robins, GA and can be reached out via phone at 478-225-9001 and via fax at 478-225-9167. You can also correspond with Teresa S Vickers through the mailing address at 2929 WATSON BLVD STE 2, WARNER ROBINS, GA - 31093-9601 (mailing address contact number: ).

Location: 1860 Watson Blvd, Warner Robins, GA, 31093-9601
person
Provider Profile Details
NPI Number
1275060295
Provider Name
Teresa S Vickers
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1860 Watson Blvd, Warner Robins, GA, 31093-9601
Phone Number
478-225-9001
Fax Number
478-225-9167
Provider Enumeration Date
05/22/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AG05170061 01 GA GEORGIA CERTIFICATION (NP)
RN149574 01 GA RN LICENSURE
institution
Provider Business Practice Location Address Details
Address
1860 Watson Blvd
City
State
Zip
31093-3612
Phone Number
478-225-9001
Fax Number
478-225-9167
person
Provider Business Mailing Address Details
Address
1860 Watson Blvd
City
State
Zip
31093-3612
Phone Number
478-225-9001
Fax Number
478-225-9167
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN149574 (Georgia)
Definition
Definition to come...
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