Tarver, Willean

Tarver, Willean is an sole proprietor health care provider with primary practice located at 910 N Jefferson St , Jacksonville FL 32209-6810. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Tarver, Willean can be contacted via phone (904) 427-7600.

Contact Information

Primary practice address
910 N Jefferson St Jacksonville FL 32209-6810
Phone: (904) 427-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1447543327
LBN Legal business name Tarver, Willean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2011
Last updated Nov 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447543327 NPPES
Florida MEDICAID 000661600

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