Provider Demographics
NPI:1851443147
Name:SYLVESTRI, TERRI HILLMAN (FNP)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:HILLMAN
Last Name:SYLVESTRI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1962 JULIA ST
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-5527
Mailing Address - Country:US
Mailing Address - Phone:318-728-8833
Mailing Address - Fax:318-728-6183
Practice Address - Street 1:1962 JULIA ST
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-5527
Practice Address - Country:US
Practice Address - Phone:318-728-8833
Practice Address - Fax:318-728-6183
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA03168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1536911Medicaid