Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rasheda Juandrell Tyson

Individual provider Prosthetics Case Management · NPI 1093337958

Rasheda Juandrell Tyson is a Prosthetics Case Management in Pensacola, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2702 Massachusetts Ave Apt 185
Pensacola, FL 32505-3475
Phone: (850) 382-7803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CL1275593 (FL)
Prosthetics Case Management Taxonomy 1744P3200X · Licence CL1275593 (FL)

Record details

NPI number1093337958
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020
Mailing address2702 Massachusetts Ave Apt 185, Pensacola, FL 32505-3475

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