Organization
HEALING HIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI TYSON (NP)
(904) 465-1955
Entity
Organization
Contact information
Practice address
5501 MUSKOGEAN ST, ST AUGUSTINE, FL 32092-0330
(904) 465-1955
Mailing address
5501 MUSKOGEAN ST, ST AUGUSTINE, FL 32092-0330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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