TISA REID

JACKSONVILLE, FL
NPI1164031894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11008385)
Enumeration Date2020-07-28
Last Update Date2022-01-23
Business Address
TISA REID APRN
2484 EISNER DR
JACKSONVILLE, FL 32218-8837
Phone number: 904-881-3125
Mailing Address
TISA REID APRN
1255 LILA ST
JACKSONVILLE, FL 32208-3550
Phone number: 904-383-1001
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