# MIDWIFE HOPE TERRELL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578061438
- **Authorized official:** DAFFINI HOPE TERRELL LM,CPM (OWNER)
- **Authorized official phone:** (904) 476-2999

## Contact information

- **Practice address:** 4714 BIRKENHEAD RD, JACKSONVILLE, FL 32210-4138
- **Practice address phone:** (904) 450-3697
- **Practice address fax:** (904) 339-9011
- **Mailing address:** 4714 BIRKENHEAD RD, JACKSONVILLE, FL 32210-4138
- **Mailing address phone:** (904) 450-3697
- **Mailing address fax:** (904) 339-9011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | 210 | FL | Yes |

## Other

- **Enumeration date:** 01/25/2018
- **Last updated:** 01/25/2018