Terinei Lorel Andrews, REGISTERED NURSE
Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Jackson, MS
NPI 1053908780 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1053908780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
- License
- 904851 (MS)
- Practice address
- 3450 Highway 80 W
Jackson, MS 39209-7201 - Phone
- (601) 321-2400
- NPI assigned
- Dec 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904851 | MS | MD | Addiction (Substance Use Disorder) Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 904851 | MS | Yes |
Addresses
Primary practice location
3450 Highway 80 W
Jackson, MS 39209-7201
Mailing address
5155 Keele St Apt 9B
Jackson, MS 39206-4327
Phone (769) 230-6800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 904851 | Other | MS | MISSISSIPPI STATE BOARD OF NURSING |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Jackson | Health Information Exchange (HIE) |
Other providers in Jackson, MS
- Rebekah Andrew Ayyasamy
- Andrew K. Dulaney, DMD
- Bentia Andrews
- Darlenia T Andrews
- Katrice Pacley Andrews
- Tory J Andrews
- Anesthesia Consultants PA
- Janet Theresa Angelo
- Angelz Community Transport LLC
- Nancy E Anklam
All providers in Jackson, MS · Addiction (Substance Use Disorder) Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.