Mrs Terena S Stidham, CFNP is a
Nurse Practitioner - Family based in Detroit, Alabama. Mrs Terena S Stidham is licensed to practice in Alabama (license number 1-081469) and her current practice location is
65345 Hwy 17, Detroit, Alabama. She can be reached at her office (for appointments etc.) via phone at
(205) 273-4056.
NPI number for Mrs Terena S Stidham is 1861443087 and her current mailing address is 123 Main St N, Amory, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861443087.
Provider's Profile
| Full Name | Mrs Terena S Stidham |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 65345 Hwy 17, Detroit, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861443087
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 09/24/2012
Medical Identifiers
Medical identifiers for Mrs Terena S Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861443087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R857697 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-081469 (Alabama) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2005009897-22 (Alabama) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Terena S Stidham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Terena S Stidham, CFNP
123 Main St N,
Amory, MS 38821-3416
Ph: (662) 256-7112 | Mrs Terena S Stidham, CFNP
65345 Hwy 17,
Detroit, AL 35552
Ph: (205) 273-4056 |
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