Ms. Tequila J Staten
APRN | Nurse Practitioner - Family | 16+ years Exp
5796 Nashville Rd, Bowling Green
Kentucky, 42101
270-781-6477
Ms. Tequila J Staten is a Bowling Green, Kentucky based nurse practitioner with 16 years of experience in Family. She completed her graduation in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Tequila J Staten is 3006238 for Family in Kentucky. Her current practice location is 5796 Nashville Rd, Bowling Green. Patients can reach her at 270-781-6477 or can fax her at 270-781-6479. Ms. Tequila J Staten is APRN with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1043549918.
Ms. Tequila J Staten delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Ms. Tequila J Staten speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Tequila J Staten |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | APRN |
| Experience: | 16+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5796 Nashville Rd, Bowling Green,
Kentucky, 42101 |
| Phone: | 270-781-6477 |
| Fax: | 270-781-6479 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7911023122 |
| Enrollment ID: | I20100924000996 |
| NPI Number: | 1043549918 |
| NPI Enumeration Date: | 23 Dec, 2009 |
| NPI Last Update On: | 04 Apr, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Tequila J Staten are as mentioned below.
| License Number | Specialization | State | Status | |
| 3006238 | Family | Kentucky | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ms. Tequila J Staten is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Gilbert Barbee Moore And Mcilvoy Psc (4082511167) | 232 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Tequila J Staten such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7100170760 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Tequila J Staten
201 Park St,
Bowling Green, Kentucky |
| Zip: | 42101-1759 |
| Phone Number: | 270-781-5111 |
Patients can reach Ms. Tequila J Staten at
5796 Nashville Rd, Bowling Green, Kentucky or can
call to book an appointment on 270-781-6477.
Comments/ Reviews:
Patients can read all the reviews posted for Ms. Tequila J Staten below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Ms. Tequila J Staten. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.