Individual
TACONIA D ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
147 MARISCO WAY, JACKSONVILLE, FL 32220-4605
(904) 828-8753
Mailing address
147 MARISCO WAY, JACKSONVILLE, FL 32220-4605
(904) 828-8753
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9524909
FL
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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