MEDICARE: TONYA KING-CHARLTON ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9228884	FL
2	363LF0000X	Family Nurse Practitioner	9228884	FL

General Provider Information

NPI Number	:	1144756586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA KING-CHARLTON ARNP

Provider Business Mailing Address
First Line	:	10272 LANCASHIRE DR E
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32219-4372
Country	:	US
Telephone Number	:	904-607-9794
Fax Number	:

Provider Business Practice Location Address
First Line	:	6150 METROWEST BLVD
Second Line	:	103
City	:	ORLANDO
State	:	FL
Zip	:	32835-3289
Country	:	US
Telephone Number	:	407-730-3837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2017
Last Update Date	:	03/10/2026

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