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Taneisha Evette Wilson
Homemaker in Jacksonville, Florida
NPI 1669198511

Taneisha Evette Wilson is a Homemaker based in Jacksonville, FL. Taneisha Evette Wilson practices in Jacksonville, FL. The NPI Number for Taneisha Evette Wilson is 1669198511 and holds a License No. 480 (Florida).

The current practice location address for Taneisha Evette Wilson is 6771 Rhode Island Dr W, Jacksonville, FL and can be reached out via phone at 904-333-7351.

Location: 6771 Rhode Island Dr W, Jacksonville, FL, 32209-1435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669198511
Provider Name
Taneisha Evette Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6771 Rhode Island Dr W, Jacksonville, FL, 32209-1435
Phone Number
904-333-7351
Fax Number
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6771 Rhode Island Dr W
City
Jacksonville
State
Florida
Zip
32209-1435
Phone Number
904-333-7351
Fax Number
person
Provider Business Mailing Address Details
Address
6771 Rhode Island Dr W
City
Jacksonville
State
Florida
Zip
32209-1435
Phone Number
904-333-7351
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
236090 (Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
480 (Florida)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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