Terry Dampier, is a
Nurse Practitioner - Family based in Black Jack, Missouri. Terry Dampier is licensed to practice in Missouri (license number 2017006451) and her current practice location is
12302 Jerries Ln, Black Jack, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 277-8382.
NPI number for Terry Dampier is 1568939411 and her current mailing address is 12302 Jerries Ln, Black Jack, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568939411.
Provider's Profile
| Full Name | Terry Dampier |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 12302 Jerries Ln, Black Jack, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568939411
- Provider Enumeration Date: 10/30/2018
- Last Update Date: 10/30/2018
Medical Identifiers
Medical identifiers for Terry Dampier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568939411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 2017006451 (Missouri) | Primary |
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. Terry Dampier 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 |
|---|
Terry Dampier,
12302 Jerries Ln,
Black Jack, MO 63033-4410
Ph: () - | Terry Dampier,
12302 Jerries Ln,
Black Jack, MO 63033-4410
Ph: (314) 277-8382 |
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