Provider Demographics
NPI:1083025407
Name:KELLEY-GRIFFIS, TERRI ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:ANN
Last Name:KELLEY-GRIFFIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-645-8425
Mailing Address - Fax:
Practice Address - Street 1:5801 FOREST PARK RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9183
Practice Address - Country:US
Practice Address - Phone:214-645-8525
Practice Address - Fax:214-645-8526
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125615363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily