Individual provider · Type 1 NPI

Kelli M. Tyson, ARNP

Nurse Practitioner · St. Augustine, FL

NPI number 1801304357 Active

Practice location

1100 Plantation Island Dr S Ste 220
St. Augustine, FL 32080-5174

Call (904) 223-3321 Map

Fax (904) 223-2169

Mailing address

5191 First Coast Tech Pkwy Fl 3
Jacksonville, FL 32224-0609

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9229212 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1801304357

Kelli M. Tyson, ARNP's National Provider Identifier is 1801304357, issued on Jan 18, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Augustine, FL. The record was last updated on Dec 19, 2024.