NPI 1093361990

Jessica Hilda Terrell

Practitioner Child Physical Disabilities Respite Care Reddick, FL

Practice location

Address: 11600 NW 140th Pl, Reddick, FL 32686
Phone: (352) 622-7038
Mailing address: PO Box 412, Lowell, FL 32663-0412

Registered specialties

Child Physical Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2065X Licence 235893 (FL)

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Registry record

NPI: 1093361990
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2019
Record last updated: 15 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.