Provider Demographics
NPI:1275861791
Name:ROGERS, TERRY M (FNP)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:M
Last Name:ROGERS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:935 SPRING CREEK RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-3993
Mailing Address - Country:US
Mailing Address - Phone:423-893-9787
Mailing Address - Fax:423-893-9037
Practice Address - Street 1:935 SPRING CREEK RD
Practice Address - Street 2:SUITE 205
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-3993
Practice Address - Country:US
Practice Address - Phone:423-893-9787
Practice Address - Fax:423-893-9037
Is Sole Proprietor?:No
Enumeration Date:2009-11-20
Last Update Date:2014-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN14640363LF0000X
TNRN95717163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse