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Teresa Gibson Ford
Family Nurse Practitioner in Lakeland, Tennessee
NPI 1801380548

Teresa Gibson Ford is a Family Nurse Practitioner based in Lakeland, TN and is specialized in Family. Teresa Gibson Ford practices in Lakeland, TN. The NPI Number for Teresa Gibson Ford is 1801380548 and holds a License No. F05180880 (Tennessee).

The current practice location address for Teresa Gibson Ford is 10218 Ivy Oak Ln, Lakeland, TN and can be reached out via phone at 901-605-7003.

Location: 10218 Ivy Oak Ln, Lakeland, TN, 38002-8509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801380548
Provider Name
Teresa Gibson Ford
Credential
Provider Entity Type
Individual
Gender
Female
Address
10218 Ivy Oak Ln, Lakeland, TN, 38002-8509
Phone Number
901-605-7003
Fax Number
Provider Enumeration Date
06/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F05180880 05 TN
institution
Provider Business Practice Location Address Details
Address
10218 Ivy Oak Ln
City
Lakeland
State
Tennessee
Zip
38002-8509
Phone Number
901-605-7003
Fax Number
person
Provider Business Mailing Address Details
Address
10218 Ivy Oak Ln
City
Lakeland
State
Tennessee
Zip
38002-8509
Phone Number
901-605-7003
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F05180880 (Tennessee)
Definition
Definition to come...
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