Tyre, Edna J

Tyre, Edna J is an individual health care provider with primary practice located at 240 Peachtree St , Jesup GA 31545-0212. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tyre, Edna J can be contacted via phone (912) 427-2042.

Contact Information

Primary practice address
240 Peachtree St Jesup GA 31545-0212
Phone: (912) 427-2042
Fax: (912) 427-5880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN023113 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN023113 Georgia

Profile Details

NPI number 1295762524
LBN Legal business name Tyre, Edna J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jan 28th, 2008 - about 18 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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