Provider Demographics
NPI:1053897728
Name:WEBB, TERESA DUNCAN (APRN, CCNS-AG)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:DUNCAN
Last Name:WEBB
Suffix:
Gender:F
Credentials:APRN, CCNS-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 BOOGERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-8860
Mailing Address - Country:US
Mailing Address - Phone:865-640-6909
Mailing Address - Fax:
Practice Address - Street 1:3045 BOOGERTOWN RD
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37876-8860
Practice Address - Country:US
Practice Address - Phone:865-640-6909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20043364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health