Search › Florida › 376J00000X
Tysheana Peterson
NPI 1154930527 · on the registry since 2020
Practice
- Address
- 6717 Southern Oaks Dr
Jacksonville, FL 32244 - Phone
- (904) 575-5082
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Also registered as
- 372500000X
374U00000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida