Tanner, Millicent

Tanner, Millicent is an individual health care provider with primary practice located at 340 16Th Ave N , Jacksonville Beach FL 32250-4819. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Tanner, Millicent can be contacted via phone (904) 247-1911.

Contact Information

Primary practice address
340 16Th Ave N Jacksonville Beach FL 32250-4819
Phone: (904) 247-1911
Fax: (904) 247-9736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1467495242
LBN Legal business name Tanner, Millicent
Credentials R.D.,C.D.E.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 19 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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