Provider Demographics
NPI:1659686251
Name:SERMAN, TERRI JO (ARNP)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:JO
Last Name:SERMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9765 SAN JOSE BLVD
Mailing Address - Street 2:STE.102
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-4402
Mailing Address - Country:US
Mailing Address - Phone:904-260-5757
Mailing Address - Fax:904-268-0733
Practice Address - Street 1:9765 SAN JOSE BLVD
Practice Address - Street 2:STE.102
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-4402
Practice Address - Country:US
Practice Address - Phone:904-260-5757
Practice Address - Fax:904-268-0733
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2846312363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner