Ferman, Tanis Jill

Ferman, Tanis Jill is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ferman, Tanis Jill can be contacted via phone (904) 953-2000.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY5946 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY5946 Florida

Profile Details

NPI number 1013907948
LBN Legal business name Ferman, Tanis Jill
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2005
Last updated Sep 1st, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013907948 NPPES
Florida Other 54467 BLUECROSS/BLUESHIELD
Florida Other 620006028 BLUECROSS/BLUESHIELD

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