Tysheana Peterson
Tysheana Peterson is a Chore Provider in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2020.
- Licensed in
- FL
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
6717 Southern Oaks DrJacksonville, FL 32244-3675
Phone: (904) 575-5082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X · Licence 236899 (FL) |
|---|---|
| Chore Provider | Taxonomy 372500000X (FL) |
| Home Health Aide | Taxonomy 374U00000X (FL) |
Record details
| NPI number | 1154930527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 30, 2020 |
| Last updated in NPPES | September 17, 2021 |
| Certification date | June 29, 2021 |
| Mailing address | Po Box 440222, Jacksonville, FL 32222-0021 |
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