Resilient Clinic, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

RESILIENT CLINIC, LLC

Practice address

4425 Lafayette St
Marianna, FL 32446-3312

Phone

(850) 600-6430

NPI assigned

Aug 7, 2025

Last updated

Aug 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerri Edwards, DNP, APRNNPI 1376043034

Title

Owner

Phone

(850) 600-6430

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerri Stone Edwards, APRN, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tallahassee, FL
  • NPI 1376043034
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1023993227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 LAFAYETTE ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463312",
            "telephone_number": "850-600-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 LAFAYETTE ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463312",
            "telephone_number": "850-600-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-600-6430",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny P Ray, PTA
• Marlaine Raymond
• Rakhee Reddy, MD
• Camille Reed
• Renal Treatment Centers-Southeast, LP. (Marianna Dialysis Center)
• Resilient Human Health, LLC
• Restoration and Resilience Counseling, LLC
• Wayde Tucker Retherford
• Reuben Bontrager (B.T.Clinic)
• Bernice R Rhynes

• Primary Care Nurse Practitioner in Marianna, FL
• Providers in Marianna, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.