Individual
TA'SHARA T WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4411 SUNBEAM RD # 56721, JACKSONVILLE, FL 32257-7525
(904) 990-4774
Mailing address
PO BOX 56721, JACKSONVILLE, FL 32241-6721
(904) 990-4774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9560030
FL
163WG0600X
Gerontology Registered Nurse
RN9560030
FL
163WH0200X
Home Health Registered Nurse
RN9560030
FL
163WS0200X
School Registered Nurse
RN9560030
FL
163WW0000X
Wound Care Registered Nurse
RN9560030
FL
Other
Enumeration date
03/06/2023
Last updated
04/05/2024
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