SearchFlorida305S00000X

Tashiana Kelly

NPI 1528666146 · on the registry since 2020 · sole proprietor

Practice

Address
2611 University Blvd N Apt C203
Jacksonville, FL 32211
Phone
(904) 248-2208

Registry record

Primary taxonomy
305S00000X
305S00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida