Provider Demographics
NPI:1336304682
Name:LEMONS, TERRILYN D (APRNP)
Entity Type:Individual
Prefix:MRS
First Name:TERRILYN
Middle Name:D
Last Name:LEMONS
Suffix:
Gender:F
Credentials:APRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4018 PARK PLACE CIR
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-1500
Mailing Address - Country:US
Mailing Address - Phone:404-212-1024
Mailing Address - Fax:404-212-1024
Practice Address - Street 1:4018 PARK PLACE CIR
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-1500
Practice Address - Country:US
Practice Address - Phone:404-212-1024
Practice Address - Fax:404-212-1024
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN079871363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily