Peterson, Tysheana

Peterson, Tysheana is an individual health care provider with primary practice located at 6717 Southern Oaks Dr , Jacksonville FL 32244-3675. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Peterson, Tysheana can be contacted via phone (904) 575-5082.

Contact Information

Primary practice address
6717 Southern Oaks Dr Jacksonville FL 32244-3675
Phone: (904) 575-5082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X Florida
Nursing Service Related Providers / Home Health Aide 374U00000X Florida
Nursing Service Related Providers / Homemaker 376J00000X 236899 Florida

Profile Details

NPI number 1154930527
LBN Legal business name Peterson, Tysheana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2020
Last updated Sep 17th, 2021 - 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.

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