Tanisha M Henry is a Medical in Jacksonville, Florida. Tanisha M Henry practices all healthcare services and medical treatments related to Medical. The NPI Number for Tanisha M Henry is 1003879735. The last update date is 2011-08-04.
Tanisha M Henry's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Tanisha M Henry is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanisha M Henry |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1003879735 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2011-08-04 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9103457 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 417531260A | GA | -- | |
| 2922835-00 | FL | -- |
Post Comment/ Review Below
What is the Tanisha M Henry's unique identification number?
The Tanisha M Henry has been assigned the NPI (National Provider Identifier) Number 1003879735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Tanisha M Henry is located?
The Tanisha M Henry is situated at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is Tanisha M Henry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tanisha M Henry is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
When was the Tanisha M Henry's 1003879735 issued?
The Tanisha M Henry's 1003879735 was issued on 2006-04-12.
When was the information regarding Tanisha M Henry most recently updated?
The details pertaining to the Tanisha M Henry, including its address, specialty, and other relevant information, were last refreshed on 2011-08-04.