Individual provider · Type 1 NPI
Tysheana Peterson
Homemaker · Jacksonville, FL
NPI number
1154930527
Active
Practice location
6717 Southern Oaks Dr
Jacksonville, FL 32244-3675
Mailing address
PO Box 440222
Jacksonville, FL 32222-0021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chore Provider | 372500000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Homemaker Primary | 376J00000X | 236899 (FL) |
Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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About NPI 1154930527
Tysheana Peterson's National Provider Identifier is 1154930527, issued on Jul 30, 2020. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 17, 2021.