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General NPI Number Information
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NPI Number | 1225920929
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Entity Type | Organization
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Legal Business Name | RESILIENT HUMAN HEALTH, LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 4425 LAFAYETTE ST
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City | MARIANNA
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State | FL
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Zip | 32446-3312
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Country | US
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Telephone | 850-600-4606
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6339
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City | MARIANNA
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State | FL
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Zip | 32447-6339
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Country | US
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Telephone | 850-600-4606
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Fax |
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Authorized Official
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Title or Position | FOUNDER, CHIEF CLINICAL OFFICER
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Name | JERRI STONE EDWARDS
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Credential | DNP,APRN
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Telephone | 850-600-4606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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