Individual
TYRA SUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
215 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(252) 904-8885
Mailing address
719 ADDOR DR, RICHLANDS, NC 28574-1318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN301418
GA
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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