Provider Demographics
NPI:1538184270
Name:PALMER, TERESA G (APRN)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:G
Last Name:PALMER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:TERESA
Other - Middle Name:G
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AP-CNS W/CF
Mailing Address - Street 1:PO BOX 440504
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0504
Mailing Address - Country:US
Mailing Address - Phone:865-670-6199
Mailing Address - Fax:865-670-6198
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:865-305-7255
Practice Address - Fax:865-305-7115
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000010933364SM0705X
TN10933363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP87376Medicare UPIN
TN3909841Medicare ID - Type Unspecified