Nelson, Faye
Nelson, Faye is an sole proprietor health care provider with primary practice located at 2125 Hyde Park Rd Apt 2 , Jacksonville FL 32210-3857. She recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Agencies / In Home Supportive Care, Agencies / Home Health. Agencies / In Home Supportive Care is her primary health care specialty. Nelson, Faye can be contacted via phone (904) 610-7479.Contact Information
Primary practice address
2125 Hyde Park Rd Apt 2
Jacksonville FL 32210-3857
Phone: (904) 610-7479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1053832220 |
|---|---|
| LBN Legal business name | Nelson, Faye |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2017 |
| Last updated | Jul 21st, 2022 - 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 | 1053832220 | NPPES |
| Florida | MEDICAID | 82-2005980 |
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