Provider Demographics
NPI:1548051279
Name:MESSER, TERESA (APRN)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:MESSER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2634
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40702-2634
Mailing Address - Country:US
Mailing Address - Phone:606-595-2365
Mailing Address - Fax:833-222-3797
Practice Address - Street 1:1200 MASTER ST
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2502
Practice Address - Country:US
Practice Address - Phone:606-280-4000
Practice Address - Fax:833-222-3797
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4038674363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care