Beckett, Tysam Chadli

Beckett, Tysam Chadli is an individual health care provider with primary practice located at 10821 Foxhole Rd , Clermont FL 34711-8013. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Beckett, Tysam Chadli can be contacted via phone (407) 408-4433.

Contact Information

Primary practice address
10821 Foxhole Rd Clermont FL 34711-8013
Phone: (407) 408-4433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN9368798 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11014430 Florida

Profile Details

NPI number 1114349735
LBN Legal business name Beckett, Tysam Chadli
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2014
Last updated Jun 28th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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