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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TINA PATRICE BRISTOL

Active Sole Proprietor

MRS. TINA PATRICE BRISTOL is a Emotionally Disturbed Children Residential Treatment healthcare provider located in JACKSONVILLE, Florida. NPI 1346994845 is currently active in the NPPES registry. Verify at CMS.

Emotionally Disturbed Children Residential Treatment · JACKSONVILLE, FL

Registration Details

NPI Number
1346994845
Provider Type
Individual
Gender
Female
NPI Issued
Feb 4, 2022 (4.5689124007213 yrs)
Last Updated
Feb 4, 2022
License
016780800 (FL)
Sole Proprietor
Yes

Practice Information

Address
4455 ISH BRANT RD W
JACKSONVILLE, FL, 322107046
Browse FL providers · Browse ZIP 32210
Phone
9043776612

Other Emotionally Disturbed Children Residential Treatment Providers in JACKSONVILLE, FL

Name Credential NPI
LAKEISHA JOY-LITTLE 1578721759
MS. LORETTA DONALD 1447546791
MS. BRIDGETT DENISE BRAXTON 1255847778
LATOYA COVINGTON 1598265803
MIRANDA NICOLE POLLARD 1376047308
LAKISHA DANYEL RICHO 1013413533
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.