Provider Demographics
NPI:1245838945
Name:FLOWERS, TERAS G (MSN-PMHNP)
Entity type:Individual
Prefix:
First Name:TERAS
Middle Name:G
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:MSN-PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 34TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-1409
Mailing Address - Country:US
Mailing Address - Phone:202-662-9924
Mailing Address - Fax:
Practice Address - Street 1:337 34TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-1409
Practice Address - Country:US
Practice Address - Phone:202-662-9924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1034376163WM0705X
DCRN1034376363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical