Tyler, Keesha
Tyler, Keesha is an individual health care provider with primary practice located at 1450 Ross Clark Cir Ste 400 , Dothan AL 36301-4770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tyler, Keesha can be contacted via phone (334) 305-0400.Contact Information
Primary practice address
1450 Ross Clark Cir Ste 400
Dothan AL 36301-4770
Phone: (334) 305-0400
Fax: (334) 305-0401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-097574 | Alabama |
Profile Details
| NPI number | 1174829915 |
|---|---|
| LBN Legal business name | Tyler, Keesha |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2011 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174829915 | NPPES |
| Alabama | Other | 1-097574 | ALABAMA BOARD OF NURSING |
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