TERESA GIBSON FORD


Address: 10218 Ivy Oak Ln, Lakeland, TN 38002-8509
Phone: 9016057003

TERESA GIBSON FORD (NPI# 1801380548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801380548
Entity Type Individual
Full Name TERESA GIBSON FORD
Practice Address 10218 Ivy Oak Ln
Lakeland
TN 38002-8509
Practice Telephone 9016057003
Enumeration Date 2018-06-17
Last Update Date 2018-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F05180880 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN F05180880 05

Other Providers TERESA FORD

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1649785221 Teresa Ford Counselor 2452 Wilshire St, Riverside, CA 92501-2144 2017-12-05
1518968700 Teresa J Ford Nurse Anesthetist, Certified Registered 8990 Springbrook Dr Nw, Coon Rapids, MN 55433-5884 2005-08-10

Office Location

Street Address 10218 IVY OAK LN
City LAKELAND
State TN
Zip Code 38002-8509

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851906994 Janine Marie Divincenzo-smith Nurse Practitioner 2927 Northbrook Ln, Lakeland, FL 33811-1663 2020-09-15
1225643638 Erin Garza Nurse Practitioner 1606 Lakewood Dr N, Lakeland, FL 33813-3241 2020-09-11
1184240228 Alexis Michele Ramos Nurse Practitioner 858 Rockingham Rd, Lakeland, FL 33809-4044 2020-06-24
1326664632 Lindsey R Cromer Nurse Practitioner 6945 Ashbury Dr, Lakeland, FL 33809-7804 2020-06-23
1043846611 Amy Melissa Eaton Nurse Practitioner 1123 Walt Williams Rd Lot 192, Lakeland, FL 33809-2392 2020-03-16
1265066732 Komal Meghat Nurse Practitioner 707 Arbor Glen Cir Apt 103, Lakeland, FL 33805-2376 2020-02-24
1629609391 Brooke Nicole Brooks Nurse Practitioner 6883 Lake Eaglebrooke Dr, Lakeland, FL 33813-5667 2020-01-30
1568001774 Theava Ismarella Preston Nurse Practitioner 1409 Alameda Dr S, Lakeland, FL 33805-2301 2020-01-06
1497394738 Denise Thaxter Nurse Practitioner 3262 Pebblebrooke Blvd, Lakeland, FL 33810-1305 2020-01-03
1205478724 Jisha Mathew Nurse Practitioner 2636 High Ridge Dr, Lakeland, FL 33812-5883 2019-10-16
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Competitor

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City LAKELAND
Zip Code 38002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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