Kelli M. Tyson, ARNP

Nurse Practitioner · St Augustine, FL

Individual Active NPI

NPI number 1801304357

Practice location

1100 Plantation Island Dr S Ste 220
St Augustine, FL 32080-5174
Phone
(904) 223-3321
Fax
(904) 223-2169

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NPI record

NPI
1801304357
Entity type
Individual (Type 1)
Enumeration date
January 18, 2018
Last updated
December 19, 2024
Certified
December 19, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X ARNP9229212 FL

Mailing address

5191 First Coast Tech Pkwy Fl 3
Jacksonville, FL 32224-0609
Phone
(904) 223-3321
Fax
(904) 223-2169

About Kelli Tyson

Kelli M. Tyson, ARNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1100 Plantation Island Dr S Ste 220, St Augustine, FL 32080-5174. The NPI number 1801304357 was assigned on January 18, 2018 and the record was last updated on December 19, 2024.

Kelli Tyson lists a license in the registry: #ARNP9229212 (FL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelli M. Tyson, ARNP?

The NPI number is 1801304357.

What is the phone number of Kelli Tyson?

The phone number listed for the practice location is (904) 223-3321.

Where is Kelli Tyson located?

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

What is the taxonomy code for Kelli Tyson?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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