Teresa Creech
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Senatobia, MS
NPI 1710697602 · NPPES record last updated Dec 1, 2022
Key facts
- NPI
- 1710697602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 905653 (MS)
- Practice address
- 108 Carolina Cir
Senatobia, MS 38668-7430 - Phone
- (901) 218-9526
- NPI assigned
- Dec 1, 2022
- 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 |
|---|---|---|---|
| 905653 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905653 | MS | Yes |
Addresses
Primary practice location
108 Carolina Cir
Senatobia, MS 38668-7430
Mailing address
108 Carolina Cir
Senatobia, MS 38668-7430
Other providers in Senatobia, MS
- Jason Andre Cooper
- Cornerstone Rehabilitation of Senatobia Inc
- Covenant Health Solutions of Mississippi
- Tyler Jordan Covington
- Allison Claire Crawford
- Delta Health System
- Delta Health System
- Tonya Dixon
- Drayer Physical Therapy Mississippi LLC
- Jessica Dupree
All providers in Senatobia, MS · Psychiatric/Mental Health Nurse Practitioner 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 1, 2022. 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.