MISS DEDRA DELPHINE TERRY


Address: 1015 Montlimar Dr, Mobile, AL 36609
Phone: 2516432872

MISS DEDRA DELPHINE TERRY (NPI# 1184089369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184089369
Entity Type Individual
Full Name MISS DEDRA DELPHINE TERRY
Credential FPMHNP
Practice Address 1015 Montlimar Dr
Mobile
AL 36609
Mailing Address 9601 Cheyney Ct
Mobile
AL 36695-7453
Practice Telephone 2516432872
Mailing Telephone 2516432872
Enumeration Date 2015-12-15
Last Update Date 2018-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
1-107226 AL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1115 Weber St, Franklin, LA 705384124 3378282550 3373552335

Office Location

Street Address 1015 MONTLIMAR DR
City MOBILE
State AL
Zip Code 36609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093717894 Patricia K Noonan Nurse Practitioner 1015 Montlimar Dr, Mobile, AL 36609-1713 2005-08-11
1942830781 Shannon Lewis Nurse Practitioner 1015 Montlimar Dr, Mobile, AL 36609-1713 2020-01-21
1073021101 Ashley Blount Counselor 1015 Montlimar Dr, Mobile, AL 36609-1713 2018-01-10
1205340056 Chereta Alina Beverly Nurse Practitioner 1015 Montlimar Dr, Mobile, AL 36609-1713 2017-11-30
1134630205 Alicia Todd Nurse Practitioner 1015 Montlimar Dr, Mobile, AL 36609-1713 2017-10-17
1730612086 Maridith Hollis Student in an Organized Health Care Education/Training Program 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 2017-04-04
1992237721 Bradley Brooks Student in an Organized Health Care Education/Training Program 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 2017-03-30
1134588734 University of South Alabama Psychiatry & Neurology 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 2016-02-11
1346605714 Kelley Wilson Psychologist 1015 Montlimar Dr, Mobile, AL 36609-1713 2015-12-29
1033595434 Shanthi Gatla Psychiatry & Neurology 1015 Montlimar Dr, A-210, Mobile, AL 36609-1713 2015-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821698309 Bhg Lxxii, LLC Clinic/Center 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 2020-10-26
1760036008 Jesse David Schultz Chiropractor 3501 Montlimar Plaza Drive, Mobile, AL 36609 2019-07-25
1982267241 Raqueal L. Williams Registered Nurse 406 Larose Dr., Mobile, AL 36609 2019-04-22
1588131924 Angela Roney Counselor 705 Oak Circle Dr. East, Mobile, AL 36609 2018-10-24
1134617996 Harley Michelle Oliver Physician Assistant 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 2018-04-27
1912420126 Rural Urgent Care LLC Clinic/Center 6280 Grelot Road, Mobile, AL 36609 2017-07-19
1598128407 Trisha Mcmillon Counselor 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 2016-03-30
1437523347 Sonya White D.d.s. PC Dentist 6309 Piccadilly Square Dr., Mobile, AL 36609 2015-11-17
1386913374 Janis Marie Fausser Pharmacist 5705 Cottagehill Rd, Mobile, AL 36609 2011-12-20
1245524263 Emily Chisholm Physical Therapist 1515 University Blvd. S., Mobile, AL 36609 2011-06-07
Find all providers in zip 36609

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467628693 Sheila Bouler Nurse Practitioner 3930 Airport Blvd, Suite F, Mobile, AL 36608-1692 2008-05-07
1043244189 Lisa Jan Seay Nurse Practitioner 6554 Hounds Run N, Mobile, AL 36608-5407 2006-07-11
1992331573 Krystal Nicole Smith Nurse Practitioner 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 2020-03-16
1174156103 Beverly Joyce Ales Nurse Practitioner 3209 Midtown Park S, Mobile, AL 36606-4126 2020-02-18
1942830781 Shannon Lewis Nurse Practitioner 1015 Montlimar Dr, Mobile, AL 36609-1713 2020-01-21
1851941397 Kina Cousin Hooks Nurse Practitioner 3209 Midtown Park S, Mobile, AL 36606-4126 2019-09-17
1831656701 Kiwana Trechelle Brooks Nurse Practitioner 2400 Gordon Smith Dr, Mobile, AL 36617 2019-02-26
1184125445 Tammy Hoadley Lee Nurse Practitioner 735 S Washington Ave, Mobile, AL 36603-1301 2018-02-22
1205340056 Chereta Alina Beverly Nurse Practitioner 1015 Montlimar Dr, Mobile, AL 36609-1713 2017-11-30
1134630205 Alicia Todd Nurse Practitioner 1015 Montlimar Dr, Mobile, AL 36609-1713 2017-10-17
Find all providers in MOBILE

Competitor

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City MOBILE
Zip Code 36609

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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