Trent Jim-E Theriac, FNP-C
NPI #1134686116 in Union City, Tennessee
Provider Information
- NPI Number
- 1134686116
- Entity Type
- Individual
- Name
- Trent Jim-E Theriac, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Feb 26, 2019
- Last Updated
- Apr 18, 2019
Practice Location
- Address
- 399 E HIGHWAY 22
- City
- Union City
- State
- Tennessee
- ZIP Code
- 38261-8028
- Phone
- (731) 592-0662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Emergency — Emergency |
| Nurse Practitioner - Family — Family |
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