Provider Demographics
NPI:1538147319
Name:JERKINS, TERRI WOOD (MD)
Entity type:Individual
Prefix:DR
First Name:TERRI
Middle Name:WOOD
Last Name:JERKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 CHURCH ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2012
Mailing Address - Country:US
Mailing Address - Phone:615-329-5029
Mailing Address - Fax:615-329-5081
Practice Address - Street 1:2010 CHURCH ST
Practice Address - Street 2:SUITE 410
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2012
Practice Address - Country:US
Practice Address - Phone:615-329-5029
Practice Address - Fax:615-329-5081
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD14486207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3019142Medicare ID - Type Unspecified
TNA98290Medicare UPIN