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General NPI Number Information
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NPI Number | 1467700757
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Entity Type | Individual
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Provider Name | TYQUITTA JANELL PERRIER FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2012
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1620 CORSAIR LN STE 201
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City | MIDDLEBURG
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State | FL
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Zip | 32068-8484
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Country | US
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Telephone | 904-787-8850
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Fax | 833-740-3601
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Provider Business Mailing Address
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Address Line | 1620 CORSAIR LN STE 201
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City | MIDDLEBURG
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State | FL
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Zip | 32068-8558
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Country | US
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Telephone |
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Fax | 833-740-3601
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11018830
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11018830
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN197528
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN197528
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-2720
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F4021501
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-2720
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License Number State | HI
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