Tiesha Latoya Brown in Jacksonville - Licensed Practical Nurse
Tiesha Latoya Brown - NPI 1720251655
Tiesha Latoya Brown is a Licensed Practical Nurse in Jacksonville, Florida. Tiesha Latoya Brown practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Tiesha Latoya Brown is 1720251655. The last update date is 2008-04-11.
Tiesha Latoya Brown's current location address is 1800 Edgewood Ave W, Jacksonville, Florida. You can contact this provider via phone number 9049247756. The mailing address for Tiesha Latoya Brown is 1800 Edgewood Ave W, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tiesha Latoya Brown |
|---|---|
| Address | 1800 Edgewood Ave W, Jacksonville, Florida |
| Phone Number | 9049247756 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1720251655 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 1800 Edgewood Ave W |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322088000 |
| Phone Number | 9049247756 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN5150962 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique identification code assigned to Tiesha Latoya Brown by the Centers for Medicare & Medicaid Services?
The Tiesha Latoya Brown has been issued the NPI (National Provider Identifier) 1720251655. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tiesha Latoya Brown?
The Tiesha Latoya Brown is physically situated at 1800 Edgewood Ave W, in the city of Jacksonville, state of FL, with the postal code 322088000.
What is Tiesha Latoya Brown's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tiesha Latoya Brown's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720251655 to Tiesha Latoya Brown?
The Tiesha Latoya Brown received its 1720251655 assignment from the Centers for Medicare & Medicaid Services on 2008-04-11.
As of what date were the details related to Tiesha Latoya Brown most recently updated or revised?
The information pertaining to Tiesha Latoya Brown, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-11.