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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1115 Weber St, Franklin, LA 705384124 | 3378282550 | 3373552335 |
Street Address |
1015 MONTLIMAR DR |
City | MOBILE |
State | AL |
Zip Code | 36609 |
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 |
Find all providers in the same location |
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 Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
Please comment or provide details below to improve the information on MISS DEDRA DELPHINE TERRY.
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.