D'Alessandro, Tina Marie

D'Alessandro, Tina Marie is an individual health care provider with primary practice located at 3333 W 20Th St , Jacksonville FL 32254-1703. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. D'Alessandro, Tina Marie can be contacted via phone (904) 695-9145.

Contact Information

Primary practice address
3333 W 20Th St Jacksonville FL 32254-1703
Phone: (904) 695-9145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1893082 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1893082 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP1893082 Florida

Profile Details

NPI number 1568501351
LBN Legal business name D'Alessandro, Tina Marie
Credentials PH.D., PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 7th, 2024 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568501351 NPPES
Florida MEDICAID 303944700
Florida MEDICAID 667390480A

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