Provider Demographics
NPI:1467575795
Name:WEISS, TERRIE LAMSEY (RN)
Entity Type:Individual
Prefix:MRS
First Name:TERRIE
Middle Name:LAMSEY
Last Name:WEISS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 SHALLOWMEADE LN
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1930
Mailing Address - Country:US
Mailing Address - Phone:423-209-8239
Mailing Address - Fax:423-209-8241
Practice Address - Street 1:7900 SHALLOWMEADE LN
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1930
Practice Address - Country:US
Practice Address - Phone:423-899-7533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000122749163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse