Individual
JESSICA M TERRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
65 NORTHGATE PLZ, STE 11, MORRISVILLE, VT 05661
(802) 888-8320
(802) 888-8136
Mailing address
PO BOX 749, MORRISVILLE, VT 05661-0749
(802) 888-8320
(802) 888-8136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0107522
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024242
—
VT
01
—
401673
LICENSE
NY
01
—
G8912655
MEDICARE
—
Enumeration date
08/30/2012
Last updated
06/20/2018
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