Hayward, Tyeisha

Hayward, Tyeisha is an sole proprietor health care provider with primary practice located at 1341 Ellis Trace Dr W , Jacksonville FL 32205-6128. She recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Hayward, Tyeisha can be contacted via phone (904) 290-9752.

Contact Information

Primary practice address
1341 Ellis Trace Dr W Jacksonville FL 32205-6128
Phone: (904) 290-9752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X 229348 Florida

Profile Details

NPI number 1083272306
LBN Legal business name Hayward, Tyeisha
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2019
Last updated Nov 30th, 2021 - about 5 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 1083272306 NPPES
Florida Other 229348 DEPARTMENT OF HEALTH

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