Provider Demographics
NPI:1447814017
Name:BARGER, TERRI (APRN)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:
Last Name:BARGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CHAMBERLAIN DR
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:TN
Mailing Address - Zip Code:38343-8568
Mailing Address - Country:US
Mailing Address - Phone:731-487-7679
Mailing Address - Fax:
Practice Address - Street 1:55 CHAMBERLAIN DR
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:TN
Practice Address - Zip Code:38343-8568
Practice Address - Country:US
Practice Address - Phone:731-487-7679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25822363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology