Provider Demographics
NPI:1407746894
Name:TERRELL, JABARI RASHARD (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:JABARI
Middle Name:RASHARD
Last Name:TERRELL
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1674 EDDISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:MS
Mailing Address - Zip Code:39063-3513
Mailing Address - Country:US
Mailing Address - Phone:662-528-1063
Mailing Address - Fax:662-528-1063
Practice Address - Street 1:1674 EDDISVILLE RD
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:MS
Practice Address - Zip Code:39063-3513
Practice Address - Country:US
Practice Address - Phone:662-528-1063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS907579363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily