Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TASHIANA KELLY
Active Sole ProprietorTASHIANA KELLY is a Point of Service healthcare provider located in JACKSONVILLE, Florida. NPI 1528666146 is currently active in the NPPES registry. Verify at CMS.
Point of Service · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1528666146
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2020 (5.6465113258315 yrs)
- Last Updated
- Oct 15, 2020
- License
-
W689477 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2611 UNIVERSITY BLVD N APT C203JACKSONVILLE, FL, 322113287Browse FL providers · Browse ZIP 32211
- Phone
- 9042482208
- Primary Specialty
-
Point of Service
305S00000X
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.