Provider Demographics
NPI:1811411754
Name:TERRELL, DAVID CHARLES JR (ARNP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHARLES
Last Name:TERRELL
Suffix:JR
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4289 NW AMERICAN LN
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32055-4881
Mailing Address - Country:US
Mailing Address - Phone:386-287-2111
Mailing Address - Fax:386-406-8368
Practice Address - Street 1:4289 NW AMERICAN LN
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-4881
Practice Address - Country:US
Practice Address - Phone:386-287-2111
Practice Address - Fax:386-406-8368
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9330784363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily