Healthcare Provider Details

I. General information

NPI: 1679417968
Provider Name (Legal Business Name): JAMICA TARPLEY TERRY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 MAIN ST
DANVILLE VA
24541-1816
US

IV. Provider business mailing address

1721 W SUNRISE DR
DRY FORK VA
24549-2141
US

V. Phone/Fax

Practice location:
  • Phone: 434-792-1433
  • Fax:
Mailing address:
  • Phone: 434-429-4332
  • Fax: 434-429-4332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF02260906
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: