Individual ProviderTeresa MaloneNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1819 W Clinch Ave Ste 214, Knoxville, TN 37916-2435(865) 331-2835PECOS EnrollmentBased on the most recent information from CMS, provider Teresa Malone is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1982122438Provider TypeIndividualFull NameMalone, TeresaCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date9/5/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address1819 W Clinch Ave Ste 214, Knoxville, TN 37916-2435Phone(865) 331-2835Fax(865) 331-1003Mailing LocationMailing Address1819 W Clinch Ave Ste 214, Knoxville, TN 37916-2435Phone(865) 331-2835Fax(865) 331-1003Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense23112TennesseeCode207T00000XDescriptionNeurological SurgeryAllopathic & Osteopathic PhysiciansLicense23112TennesseeProvider IdentifiersIDDescriptionIssuerIDQ031113DescriptionMedicaidIssuerUnlistedTennessee