Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Frederick Marvin Terry

Individual provider Homemaker · NPI 1063025062

Frederick Marvin Terry is a Homemaker in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

2135 Henry Hill Dr Ste 200
Jackson, MS 39204-2013
Phone: (601) 942-7689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 890892 (MS)
Homemaker Taxonomy 376J00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1063025062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing addressPo Box 465, Terry, MS 39170-0465

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