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General NPI Number Information
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NPI Number | 1962154690
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Entity Type | Individual
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Provider Name | JASMINA TERZIC APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 421 COMMERCIAL CT STE B
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City | VENICE
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State | FL
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Zip | 34292-1656
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Country | US
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Telephone | 396-906-9062
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 DALHART CT
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City | NORTH PORT
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State | FL
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Zip | 34286-5468
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Country | US
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Telephone | 314-526-7475
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2017034814
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License Number State | MO
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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 | 2022015591
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11036565
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License Number State | FL
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