TERI JO TEAGUE


Address: 205 Millstone Cir, Clarksville, TN 37042-5931
Phone: 9312372107

TERI JO TEAGUE (NPI# 1356774152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356774152
Entity Type Individual
Full Name TERI JO TEAGUE
Other Name TERI JO SHACKELFORD
Practice Address 205 Millstone Cir
Clarksville
TN 37042-5931
Practice Telephone 9312372107
Mailing Telephone 9312372107
Enumeration Date 2013-08-15
Last Update Date 2013-08-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183700000X Pharmacy Technician 42783 TN Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN STATE OF TENNESSEE DEPT OF HEALTH 0000042783 01

Office Location

Street Address 205 MILLSTONE CIR
City CLARKSVILLE
State TN
Zip Code 37042-5931

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275186603 Elizabeth Louise Eckart Physical Therapist 305 Rue Le Mans Dr., Clarksville, TN 37042 2019-07-24
1740844802 Lana Sperry Speech-Language Pathologist 1255 Northfield Drive, Clarksville, TN 37042 2019-04-24
1497263941 Cumberland Surgical Arts and Associates, Pllc Oral & Maxillofacial Surgery 1275 Parkway Place, Clarksville, TN 37042 2018-01-18
1336590058 Bobby Bonner Jr. Case Manager/Care Coordinator 1697putnum Drive, Clarksville, TN 37042 2016-06-23
1184078040 Sheena Williams Counselor 901 Martin St., Clarksville, TN 37042 2016-04-18
1568847069 Sara Hyun Seung Oh Dentist 1692 Fort Campbell Blvd, Clarksville, TN 37042 2015-07-25
1346621323 Rocky Mountain Holdings, LLC Ambulance 248 Outlaw Field Rd, Clarksville, TN 37042 2015-06-15
1528448974 Tennessee State Veterans Home Board Skilled Nursing Facility 250 Arrowood Drive, Clarksville, TN 37042 2015-06-01
1851709331 Brent Michael Hazlewood Dentist 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 2014-07-28
1619304318 Regina G Goldwire Nurse Practitioner 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 2013-09-26
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Taxonomy Information

Taxonomy Code 183700000X
Grouping Pharmacy Service Providers
Classification Pharmacy Technician

Taxonomy Definition

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063937977 Rudraben P Patel Pharmacy Technician 1051 S Riverside Dr, Clarksville, TN 37040-4303 2017-08-11
1346765278 Chelsea Brook Parnell Pharmacy Technician 1051 S Riverside Dr, Clarksville, TN 37040-4303 2017-08-11
1326488172 Leah Liverett Smith Pharmacy Technician 1756 Highway 48, Clarksville, TN 37040-9204 2013-06-25
1174677728 Deborah Faye Rye Pharmacy Technician 1051 S Riverside Dr, Clarksville, TN 37040-4303 2007-01-22
1831242882 Amy Leigh Ellis Pharmacy Technician 1051 S Riverside Dr, Clarksville, TN 37040-4303 2007-01-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902425283 Denisha N Golston Pharmacy Technician 1900 Belmont Blvd Apt T6, Nashville, TN 37212-3758 2020-04-16
1356824825 Sharonda Bealer Pharmacy Technician 1661 International Place Dr Ste 150, Memphis, TN 38120-1432 2018-09-11
1124532478 Vanessa Butterfly Denham Pharmacy Technician 5461 Blue Oak Dr, Chattanooga, TN 37416-1650 2017-11-24
1295121820 Jeffrey Nicholas Williams Pharmacy Technician 120 Brazzell Rd, Dickson, TN 37055 2015-04-10
1396175907 Niravkumar Patel Pharmacy Technician 7910 Regatta Dr, Apt 102, Cordova, TN 38016-1337 2013-11-18
1134492713 Sandra Denise Godsey Pharmacy Technician 635 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 2012-02-13
1316224850 Shirley Carol Gilbert Pharmacy Technician 2045 Us Highway 45 Byp S, Trenton, TN 38382-2940 2011-11-11
1447537550 Jason Ivory Taylor Pharmacy Technician 3333 E.shelby Dr., Memphis, TN 38105-4510 2011-11-03
1003190828 Shantera L Childs Pharmacy Technician 3595 Lucy Rd, Millington, TN 38053-7807 2011-09-29
1023323888 Briana Coss Hayden Pharmacy Technician 2828 Old Hickory Blvd, Apt 105, Nashville, TN 37221-3719 2010-08-17
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Competitor

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City CLARKSVILLE
Zip Code 37042

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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