MS. SANDRA J TERRAZZANO


Address: 1208 10th St N, Jacksonville Beach, FL 32250-3608
Phone: 9048878420

MS. SANDRA J TERRAZZANO (NPI# 1659776078) 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) 1659776078
Entity Type Individual
Full Name MS. SANDRA J TERRAZZANO
Credential ARNP, LMT
Practice Address 1208 10th St N
Jacksonville Beach
FL 32250-3608
Practice Telephone 9048878420
Practice Fax Number 9042428420
Mailing Telephone 9048878420
Mailing Fax Number 9042428420
Enumeration Date 2014-10-28
Last Update Date 2014-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225700000X Massage Therapist 16677 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
905032 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1208 10TH ST N
City JACKSONVILLE BEACH
State FL
Zip Code 32250-3608

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1801324280 Kailo Nutrition Dietitian, Registered 353 B 6th Street South, Jacksonville, FL 32250 2017-05-30
1275985368 Shankeertha Sundaralingam Dentist 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 2016-07-13
1851777494 Brooke Worthington Davidson Audiologist 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 2015-08-05
1689059115 Jenna Levine Speech-Language Pathologist 779 10th Avenue South, Jacksonville Beach, FL 32250 2015-07-27
1790176824 Olivia Ingram Caswell Acupuncturist 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 2015-02-11
1467859033 Colleen Freeman Physical Therapist 1537 Penman Rd, Jacksonville, FL 32250 2014-11-26
1356750012 Madelyn Jones Physical Therapist 1320 Roberts Drive, Jacksonville Beach, FL 32250 2014-08-07
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE BEACH
Zip Code 32250

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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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