TERRELL CLINIC LLC NPI 1053581744

NPI Information

  • NPI: 1053581744
  • Provider Name: TERRELL CLINIC LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 44D1081313
  • Address: 701 EAST REELFOOT AVE
    SUITE 100
    UNION CITY, TN
    ZIP 38261
  • Phone: (731) 885-9687

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NPI Details

TERRELL CLINIC LLC is a family nurse practitioner in Union City, TN. TERRELL CLINIC LLC NPI is 1053581744. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

701 EAST REELFOOT AVE
SUITE 100
UNION CITY, TN
ZIP 38261
Phone: (731) 885-9687
Fax: (731) 885-6643

The provider's authorized official is Renea Nagel Terrell .
The authorized official title is Owner and has the following contact phone number (731) 885-9687.

The CLIA number assigned to this NPI record is 44D1081313 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2008 and was last updated on 12/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareAPN6675TENNESSEENo
2363LF0000XNurse PractitionerFamilyRN92056TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11801193297OTHERTENNESSEEMELISSA REEVES NPI
21054900MEDICAIDTENNESSEE
339081342MEDICARE PINTENNESSEE
41619977584OTHERTENNESSEEINDIVIDUAL NPI
5P41828MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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