Smith, Tyesha

Smith, Tyesha is an sole proprietor health care provider with primary practice located at 200 Rebel Woods Dr , Jackson MS 39212-3009. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Smith, Tyesha can be contacted via phone (601) 317-4606.

Contact Information

Primary practice address
200 Rebel Woods Dr Jackson MS 39212-3009
Phone: (601) 317-4606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Mississippi
Nursing Service Related Providers / Home Health Aide 374U00000X Mississippi

Profile Details

NPI number 1326670977
LBN Legal business name Smith, Tyesha
Credentials ALL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2020
Last updated Jul 5th, 2020 - 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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