Individual
MRS. TASHA ELLSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP, PMHNP-BC
Contact information
Practice address
13453 N MAIN ST STE 104, JACKSONVILLE, FL 32218-2773
(904) 773-4390
(941) 641-7089
Mailing address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 930-9215
(941) 641-7089
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
9344392
FL
363LF0000X
Family Nurse Practitioner
ARNP9344392
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9344392
FL
Other
Enumeration date
09/24/2016
Last updated
03/21/2024
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