Individual
KELLI M. TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1100 PLANTATION ISLAND DR S STE 220, ST AUGUSTINE, FL 32080-5174
(904) 223-3321
(904) 223-2169
Mailing address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9229212
FL
Other
Enumeration date
01/18/2018
Last updated
12/19/2024
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