Provider Demographics
NPI:1225920929
Name:RESILIENT HUMAN HEALTH, LLC
Entity type:Organization
Organization Name:RESILIENT HUMAN HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CHIEF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JERRI
Authorized Official - Middle Name:STONE
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,APRN
Authorized Official - Phone:850-600-4606
Mailing Address - Street 1:PO BOX 6339
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32447-6339
Mailing Address - Country:US
Mailing Address - Phone:850-600-4606
Mailing Address - Fax:
Practice Address - Street 1:4425 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-3312
Practice Address - Country:US
Practice Address - Phone:850-600-4606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty