Individual
MRS. TONJAMEKA R SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
811 N MARKET ST, JACKSONVILLE, FL 32202
(317) 514-0857
Mailing address
4674 EMPIRE AVE, JACKSONVILLE, FL 32207-2191
(317) 514-0857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9521589
FL
173C00000X
Reflexologist
—
—
207N00000X
Dermatology Physician
RN9521589
FL
2083C0008X
Clinical Informatics Physician
RN9521589
FL
251J00000X
Nursing Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
405300000X
Prevention Professional
RN9521589
FL
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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