Provider Demographics
NPI:1346683125
Name:MOBLEY, TERI L (CRNP)
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:L
Last Name:MOBLEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 AL HIGHWAY 157
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-0687
Mailing Address - Country:US
Mailing Address - Phone:256-737-1946
Mailing Address - Fax:256-737-1949
Practice Address - Street 1:2021 ALABAMA HWY 157
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058
Practice Address - Country:US
Practice Address - Phone:256-737-1946
Practice Address - Fax:256-737-1949
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-044431363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily