Provider Demographics
NPI:1538875901
Name:TEETERS, ABBY (PA-C)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:TEETERS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:4230 HARDING PIKE STE 400
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-4900
Practice Address - Country:US
Practice Address - Phone:615-964-5823
Practice Address - Fax:615-577-1696
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2024-12-20
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant