Wilson, Taneisha Evette

Wilson, Taneisha Evette is an sole proprietor health care provider with primary practice located at 6771 Rhode Island Dr W , Jacksonville FL 32209-1435. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Wilson, Taneisha Evette can be contacted via phone (904) 333-7351.

Contact Information

Primary practice address
6771 Rhode Island Dr W Jacksonville FL 32209-1435
Phone: (904) 333-7351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 480 Florida
Nursing Service Related Providers / Homemaker 376J00000X 236090 Florida

Profile Details

NPI number 1669198511
LBN Legal business name Wilson, Taneisha Evette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2022
Last updated Oct 12th, 2022 - about 4 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.

Request for update

Popular Providers