D'Alessandro, Tina Marie
D'Alessandro, Tina Marie is an individual health care provider with primary practice located at 3333 W 20Th St , Jacksonville FL 32254-1703. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. D'Alessandro, Tina Marie can be contacted via phone (904) 695-9145.Contact Information
Primary practice address
3333 W 20Th St
Jacksonville FL 32254-1703
Phone: (904) 695-9145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP1893082 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP1893082 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ARNP1893082 | Florida |
Profile Details
| NPI number | 1568501351 |
|---|---|
| LBN Legal business name | D'Alessandro, Tina Marie |
| Credentials | PH.D., PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Mar 7th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568501351 | NPPES |
| Florida | MEDICAID | 303944700 | |
| Florida | MEDICAID | 667390480A |
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