Provider Demographics
NPI:1114263373
Name:DILLINGER, TERESA MORGAN (FNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MORGAN
Last Name:DILLINGER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:TN
Mailing Address - Zip Code:38052-3607
Mailing Address - Country:US
Mailing Address - Phone:731-472-2072
Mailing Address - Fax:731-472-2079
Practice Address - Street 1:727 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:TN
Practice Address - Zip Code:38052-3607
Practice Address - Country:US
Practice Address - Phone:731-472-2072
Practice Address - Fax:731-472-2079
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2016-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily