Individual provider · Type 1 NPI
Tyeshia Roman Henry
Driver · Jacksonville, FL
NPI number
1699547554
Active
Practice location
1837 James Madison Ct
Jacksonville, FL 32221-2128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | H560816878720 (FL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1699547554
Tyeshia Roman Henry's National Provider Identifier is 1699547554, issued on Oct 24, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 24, 2023.