TERESA GIBSON FORD

LAKELAND, TN
NPI1801380548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  F05180880)
Enumeration Date2018-06-17
Last Update Date2018-06-17
Business Address
TERESA GIBSON FORD
10218 IVY OAK LN
LAKELAND, TN 38002-8509
Phone number: 901-605-7003
Mailing Address
TERESA GIBSON FORD
10218 IVY OAK LN
LAKELAND, TN 38002-8509
Phone number:
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