Individual
TAMIKA NICOLE PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 OLD ORANGE PARK RD APT 141, ORANGE PARK, FL 32073-3012
(904) 589-0735
Mailing address
141 OLD ORANGE PARK RD APT 141, ORANGE PARK, FL 32073-3012
(904) 589-0735
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
CNA390774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P15722266
STATE OF KENTUCKY
KY
Enumeration date
08/05/2020
Last updated
08/05/2020
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