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Organization
DAVID C TERRELL JR ARNP, PA
Active
Organization
DAVID C TERRELL JR ARNP, PA
Active
Other names
GRACE FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES TERRELL JR. APRN (APRN)
(386) 287-2111
Entity
Organization
Contact information
Practice address
4289 NW AMERICAN LN, LAKE CITY, FL 32055-4881
(386) 287-2111
(386) 406-8368
Mailing address
4289 NW AMERICAN LN, LAKE CITY, FL 32055-4881
(386) 287-2111
(386) 406-8368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811411754
TYPE 1 NPI
FL
01
—
1861018988
TYPE 1 NPI
FL
01
—
APRN11007399
FLORIDA LICENSE
FL
01
—
APRN9330784
FLORIDA LICENSE
FL
Enumeration date
01/21/2021
Last updated
07/19/2026
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