Takila Terrell, is a
Licensed Practical Nurse based in Shubuta, Mississippi. Takila Terrell is licensed to practice in Mississippi (license number 337650) and her current practice location is
361 County Road 222, Shubuta, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(769) 317-4142.
NPI number for Takila Terrell is 1912736612 and her current mailing address is 361 County Road 222, Shubuta, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912736612.
Provider's Profile
Full Name | Takila Terrell |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 361 County Road 222, Shubuta, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912736612
- Provider Enumeration Date: 07/31/2024
- Last Update Date: 07/31/2024
Medical Identifiers
Medical identifiers for Takila Terrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912736612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 337650 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Takila Terrell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Takila Terrell, 361 County Road 222, Shubuta, MS 39360-9510 Ph: () - | Takila Terrell, 361 County Road 222, Shubuta, MS 39360-9510 Ph: (769) 317-4142 |
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