Ellsberry, Tasha

Ellsberry, Tasha is an sole proprietor health care provider with primary practice located at 13453 N Main St Ste 104 , Jacksonville FL 32218-2773. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, 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. Ellsberry, Tasha can be contacted via phone (904) 773-4390.

Contact Information

Primary practice address
13453 N Main St Ste 104 Jacksonville FL 32218-2773
Phone: (904) 773-4390
Fax: (941) 641-7089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 9344392 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9344392 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9344392 Florida

Profile Details

NPI number 1013466697
LBN Legal business name Ellsberry, Tasha
Credentials APRN, FNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2016
Last updated Mar 21st, 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.

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