Midwife Hope Terrell LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

210 Issued in FL

Legal business name

MIDWIFE HOPE TERRELL LLC

Practice address

4714 Birkenhead Rd
Jacksonville, FL 32210-4138

Phone

(904) 450-3697

Fax

(904) 339-9011

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

Daffini Hope Terrell, LM,CPM

Title

Owner

Phone

(904) 476-2999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1578061438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 BIRKENHEAD RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104138",
            "telephone_number": "904-450-3697",
            "fax_number": "904-339-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 BIRKENHEAD RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104138",
            "telephone_number": "904-450-3697",
            "fax_number": "904-339-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWIFE HOPE TERRELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "DAFFINI",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-476-2999",
        "authorized_official_credential": "LM,CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midwife in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.