Tyler, Melissa Griffin

Tyler, Melissa Griffin is an individual health care provider with primary practice located at 836 Prudential Dr Ste 802 , Jacksonville FL 32207-8335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tyler, Melissa Griffin can be contacted via phone (904) 202-8290.

Contact Information

Primary practice address
836 Prudential Dr Ste 802 Jacksonville FL 32207-8335
Phone: (904) 202-8290
Fax: (904) 202-8171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9164462 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP 21264 California

Profile Details

NPI number 1437109063
LBN Legal business name Tyler, Melissa Griffin
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 20th, 2023 - about 3 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 1437109063 NPPES
Florida MEDICAID 012959500
Florida MEDICAID 003151292A

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