TERESA CONERLY NPC NPI 1285065292

NPI Information

  • NPI: 1285065292
  • Provider Name: TERESA CONERLY, NPC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 430 W BROAD ST
    MONTICELLO, MS
    ZIP 39654
  • Phone: (601) 825-7280

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NPI Details

Teresa Conerly, NPC is a family nurse practitioner in Monticello, MS with 12 years of experience. Teresa Conerly, NPC NPI is 1285065292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

430 W BROAD ST
MONTICELLO, MS
ZIP 39654-723
Phone: (601) 825-7280
Fax: (601) 825-8130

The NPI 1285065292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2013 and was last updated on 10/14/2016.

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
1363LF0000XNurse PractitionerFamilyR855066MISSISSIPPIYes

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: 3/30/2025

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