Provider Demographics
NPI:1780868042
Name:HELLINGER, TERRY LEE (NP-C)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:LEE
Last Name:HELLINGER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:LEE
Other - Last Name:BLACKBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:227 E LOUDON AVE
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44842-9662
Mailing Address - Country:US
Mailing Address - Phone:419-994-5581
Mailing Address - Fax:419-994-4354
Practice Address - Street 1:227 E LOUDON AVE
Practice Address - Street 2:
Practice Address - City:LOUDONVILLE
Practice Address - State:OH
Practice Address - Zip Code:44842-9662
Practice Address - Country:US
Practice Address - Phone:419-994-5581
Practice Address - Fax:419-994-4354
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.COA.10775363LF0000X
OHRN207203-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3106463Medicaid
OHH093743Medicare PIN