| Terra G Nelson, NP | |
|
1190 Main Street, Sumiton, AL 35148 | |
| (205) 648-2660 | |
| (205) 648-2886 |
| Full Name | Terra G Nelson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1190 Main Street, Sumiton, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952433328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F0806191 (Alabama) | Primary |
| Entity Name | Innovative Infusions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629791157 PECOS PAC ID: 6608054044 Enrollment ID: O20221012000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Terra G Nelson, NP Po Box 656, Sumiton, AL 35148-0656 Ph: (205) 648-2660 | Terra G Nelson, NP 1190 Main Street, Sumiton, AL 35148 Ph: (205) 648-2660 |
Billie Renee Russell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 565 State St, Sumiton, AL 35148 Phone: 205-255-6206 Fax: 205-255-7180 | |
Mr. Charles Randall Stephens, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1190 Main Street, Sumiton, AL 35148 Phone: 205-648-2660 | |
Lisbeth Caroline Thornley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 497 Main St, Sumiton, AL 35148 Phone: 205-648-7887 Fax: 205-648-5115 |