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Telisha Carridine, RN
Home Health Registered Nurse in Jacksonville, Florida
NPI 1073116455

Telisha Carridine is a Home Health Registered Nurse based in Jacksonville, FL and is specialized in Home Health. Telisha Carridine practices in Jacksonville, FL and has the professional credentials of RN. The NPI Number for Telisha Carridine is 1073116455 and holds a License No. RN9462189 (Florida).

The current practice location address for Telisha Carridine is 7687 Vandalay Dr, Jacksonville, FL and can be reached out via phone at 850-372-3225.

Location: 7687 Vandalay Dr, Jacksonville, FL, 32244-8147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073116455
Provider Name
Telisha Carridine
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
7687 Vandalay Dr, Jacksonville, FL, 32244-8147
Phone Number
850-372-3225
Fax Number
Provider Enumeration Date
11/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN9462189 01 FL REGISTERED NURSE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
7687 Vandalay Dr
City
Jacksonville
State
Florida
Zip
32244-8147
Phone Number
850-372-3225
Fax Number
person
Provider Business Mailing Address Details
Address
7687 Vandalay Dr
City
Jacksonville
State
Florida
Zip
32244-8147
Phone Number
850-372-3225
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
RN9462189 (Florida)
Definition
Definition to come...
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