Individual
MRS. MELISSA GRIFFIN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
836 PRUDENTIAL DR STE 802, JACKSONVILLE, FL 32207-8335
(904) 202-8290
(904) 202-8171
Mailing address
PO BOX 44047, JACKSONVILLE, FL 32231-4047
(904) 376-4083
(904) 391-5075
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
ARNP 21264
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9164462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151292A
—
GA
05
—
012959500
—
FL
Enumeration date
05/12/2006
Last updated
10/20/2023
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