MEDICARE: TAHESIA MCKNIGHT-CURRY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP1600X	Pastoral Counselor
2	171400000X	Health & Wellness Coach
3	3747P1801X	Personal Care Attendant
4	376J00000X	Homemaker
5	372600000X	Adult Companion

General Provider Information

NPI Number	:	1518573294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAHESIA MCKNIGHT-CURRY

Provider Business Mailing Address
First Line	:	8401 SOUTHSIDE BLVD APT 922
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-1605
Country	:	US
Telephone Number	:	904-758-1503
Fax Number	:

Provider Business Practice Location Address
First Line	:	8401 SOUTHSIDE BLVD APT 922
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-1605
Country	:	US
Telephone Number	:	904-758-1503
Fax Number	:	336-652-3155

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

Provider Enumeration Date	:	09/18/2020
Last Update Date	:	05/31/2022

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Directions to “ TAHESIA MCKNIGHT-CURRY ” Practice Location

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