Whitehead, Ta'Shara T

Whitehead, Ta'Shara T is an individual health care provider with primary practice located at 4411 Sunbeam Rd # 56721 , Jacksonville FL 32257-7525. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Gerontology, Nursing Service Providers / Home Health, Nursing Service Providers / School, Nursing Service Providers / Wound Care, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Whitehead, Ta'Shara T can be contacted via phone (904) 990-4774.

Contact Information

Primary practice address
4411 Sunbeam Rd # 56721 Jacksonville FL 32257-7525
Phone: (904) 990-4774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X RN9560030 Florida
Nursing Service Providers / Home Health 163WH0200X RN9560030 Florida
Nursing Service Providers / School 163WS0200X RN9560030 Florida
Nursing Service Providers / Wound Care 163WW0000X RN9560030 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN9560030 Florida

Profile Details

NPI number 1467152801
LBN Legal business name Whitehead, Ta'Shara T
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2023
Last updated Apr 5th, 2024 - about 7 months 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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