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:
Health care specialties
Specialty | Code | License # | 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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