Tyson, Kelli M.

Tyson, Kelli M. is an individual health care provider with primary practice located at 1100 Plantation Island Dr S Ste 220 , St Augustine FL 32080-5174. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tyson, Kelli M. can be contacted via phone (904) 223-3321.

Contact Information

Primary practice address
1100 Plantation Island Dr S Ste 220 St Augustine FL 32080-5174
Phone: (904) 223-3321
Fax: (904) 223-2169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9229212 Florida

Profile Details

NPI number 1801304357
LBN Legal business name Tyson, Kelli M.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2018
Last updated Dec 19th, 2024 - about 2 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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