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TELISHA CARRIDINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7687 VANDALAY DR, JACKSONVILLE, FL 32244-8147
(850) 372-3225
Mailing address
7687 VANDALAY DR, JACKSONVILLE, FL 32244-8147
(850) 372-3225

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9462189
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN9462189
REGISTERED NURSE LICENSE NUMBER
FL
Enumeration date
11/18/2020
Last updated
11/18/2020
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