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Jesse Terrell
Student in an Organized Health Care Education/Training Program in New Smyrna Beach, Florida
NPI 1578143715

Jesse Terrell is a Student in an Organized Health Care Education/Training Program based in New Smyrna Beach, FL. Jesse Terrell practices in New Smyrna Beach, FL. The NPI Number for Jesse Terrell is 1578143715 and holds a License No. (Florida).

The current practice location address for Jesse Terrell is 4395 Lake Ashby Rd, New Smyrna Beach, FL and can be reached out via phone at 386-847-9321.

Location: 4395 Lake Ashby Rd, New Smyrna Beach, FL, 32168-5204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578143715
Provider Name
Jesse Terrell
Credential
Provider Entity Type
Individual
Gender
Male
Address
4395 Lake Ashby Rd, New Smyrna Beach, FL, 32168-5204
Phone Number
386-847-9321
Fax Number
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4395 Lake Ashby Rd
City
New Smyrna Beach
State
Florida
Zip
32168-5204
Phone Number
386-847-9321
Fax Number
person
Provider Business Mailing Address Details
Address
4395 Lake Ashby Rd
City
New Smyrna Beach
State
Florida
Zip
32168-5204
Phone Number
386-847-9321
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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