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Contact Information

TERESA TALLON, ARNP
1500 JAMES SIMPSON JR WAY
ST. ELIZABETH HEALTHCARE WOUND CARE DEPT
COVINGTON, KY41011-0801
 Phone: 859-655-1100
 Fax: 859-655-1102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for TERESA TALLON · (Female)

NPI # 1336131614
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 08/22/2005
Last updated 11/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1074586
  • KY License # 3003070
  • OH License # APRN.CNP.06510
  • OH License # RN262226
  • KY Medicaid 78003845
  • OH Medicaid 2376861
Hospital affiliation(s)
  • ST ELIZABETH GRANT - (Critical Access)
    238 BARNES ROAD
    WILLIAMSTOWN, KY 41097
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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