Mrs. Tasha Ellsberry
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
13453 N Main St Ste 104
Jacksonville
, Florida 32218-2773
Mrs. Tasha Ellsberry
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
13453 N Main St Ste 104
Jacksonville
, Florida 32218-2773
(941) 641-7089
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mrs. Tasha Ellsberry
- 13453 N Main St Ste 104
- Jacksonville, FL
- Zip : 32218-2773
- Fax : (941) 641-7089
- Phone : (904) 773-4390
Second Address
- Mrs. Tasha Ellsberry
- 13453 N Main St Ste 104
- Jacksonville, FL
- Zip : 32218-2773
- Fax : (941) 641-7089
- Phone : (904) 773-4390
Reviews
FAQs
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Where did Mrs. Tasha Ellsberry do her residency?
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What type of doctor is Mrs. Tasha Ellsberry
In what state does Mrs. Tasha Ellsberry practice in?
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What is Mrs. Tasha Ellsberry ’s gender?
Is Mrs. Tasha Ellsberry a sole practitioner?
Is Mrs. Tasha Ellsberry accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9344392 | FL |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 9344392 | FL |
National Provider Identifier
| NPI | 1013466697 |
|---|---|
| Provider Name | Mrs. Tasha Ellsberry |
| First Address | Jacksonville, FL 32218-2773 |
| Second Address | Jacksonville, FL 32218-2773 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2016 |
| Last Update Date | 28/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.