Healthcare Provider Details

I. General information

NPI: 1013353143
Provider Name (Legal Business Name): YVONNE TYSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1976 SALT MYRTLE LN
FLEMING ISLAND FL
32003-7065
US

IV. Provider business mailing address

1976 SALT MYRTLE LN
FLEMING ISLAND FL
32003-7065
US

V. Phone/Fax

Practice location:
  • Phone: 904-215-5262
  • Fax:
Mailing address:
  • Phone: 904-215-5262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9269854
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: