Carridine, Telisha
Carridine, Telisha is an sole proprietor health care provider with primary practice located at 7687 Vandalay Dr , Jacksonville FL 32244-8147. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Carridine, Telisha can be contacted via phone (850) 372-3225.Contact Information
Primary practice address
7687 Vandalay Dr
Jacksonville FL 32244-8147
Phone: (850) 372-3225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | RN9462189 | Florida |
Profile Details
| NPI number | 1073116455 |
|---|---|
| LBN Legal business name | Carridine, Telisha |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2020 |
| Last updated | Nov 18th, 2020 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073116455 | NPPES |
| Florida | Other | RN9462189 | REGISTERED NURSE LICENSE NUMBER |
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