Mckennon, Tiffany

Mckennon, Tiffany is an sole proprietor health care provider with primary practice located at 11039 Colonial Tavern Ln , Jacksonville FL 32221-2123. She recently has 6 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Agencies / Home Health, Agencies / In Home Supportive Care, Laboratories / Clinical Medical Laboratory, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Mckennon, Tiffany can be contacted via phone (904) 450-1430.

Contact Information

Primary practice address
11039 Colonial Tavern Ln Jacksonville FL 32221-2123
Phone: (904) 450-1430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Laboratories / Clinical Medical Laboratory 291U00000X 10D2254281 Florida
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Home Health Aide 374U00000X Florida

Profile Details

NPI number 1720509755
LBN Legal business name Mckennon, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2017
Last updated Mar 28th, 2022 - about 2 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.

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