MRS. MELISSA GRIFFIN TYLER (NPI# 1437109063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437109063 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA GRIFFIN TYLER |
| Other Name | MRS. MELISSA GAIL GRIFFIN |
| Credential | APRN |
| Practice Address |
836 Prudential Dr Ste 802 Jacksonville FL 32207-8335 |
| Mailing Address |
Po Box 44047 Jacksonville FL 32231-4047 |
| Practice Telephone | 9042028290 |
| Practice Fax Number | 9042028171 |
| Mailing Telephone | 9043764083 |
| Mailing Fax Number | 9043915075 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP 21264 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9164462 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003151292A | 05 | |
| FL | 012959500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13535 Nemours Pkwy, Orlando, FL 328277402 | 4075674000 | 4075675924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998957 | Melissa Tyler | Marriage & Family Therapist | 140 W 98th St Ste 105, Bloomington, MN 55420-4800 | 2018-04-05 |
| 1942680558 | Melissa Tyler | Physician Assistant | 503 W Market St, Georgetown, DE 19947-2321 | 2015-06-09 |
| Street Address |
836 PRUDENTIAL DR STE 802 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063485506 | Eric Lee Ceithaml | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 836 Prudential Dr Ste 802, Jacksonville, FL 32207-8335 | 2006-02-07 |
| 1710504725 | Gladys Elena Hatem | Nurse Practitioner | 836 Prudential Dr Ste 802, Jacksonville, FL 32207-8335 | 2020-06-25 |
| 1730427352 | Sheri Renee Dorner | Nurse Practitioner | 836 Prudential Dr Ste 802, Jacksonville, FL 32207-8335 | 2013-01-17 |
| 1811157993 | Harma Khachig Turbendian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 836 Prudential Dr Ste 802, Jacksonville, FL 32207-8335 | 2008-06-12 |
| 1639299936 | Michael Selim Shillingford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 836 Prudential Dr Ste 802, Jacksonville, FL 32207-8335 | 2007-03-30 |
| 1700950474 | Shamsur Rahman Chowdhury | Pediatrics | 836 Prudential Dr Ste 802, Jacksonville, FL 32207-8335 | 2006-11-17 |
| 1144295684 | Pamela Fran Stanger | Nurse Practitioner | 836 Prudential Dr Ste 802, Jacksonville, FL 32207-8335 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144707183 | Kevin Troup | Nurse Practitioner | 559 Apple Creek Dr, Jacksonville, FL 32218-8954 | 2018-07-23 |
| 1629447552 | Kelly Conway Watson | Nurse Practitioner | 12317 Soaring Flight Dr, Jacksonville, FL 32225-0784 | 2015-09-22 |
| 1750795803 | Maria Gianna Agustin | Nurse Practitioner | 5618 Jeremy Ln, Jacksonville, FL 32257-3215 | 2014-06-17 |
| 1881021376 | Erika Laine Baker | Nurse Practitioner | 655 W 8th St # C3, Clinical Center 6th Floor, Suite 6-030, Jacksonville, FL 32209-6511 | 2013-09-30 |
| 1598010688 | Gabrielle Rollins | Nurse Practitioner | 10095 Beach Blvd Ste 400, Jacksonville, FL 32246-4776 | 2012-07-16 |
| 1255659629 | Paul Bryan Hofrichter | Nurse Practitioner | 10475 Centruion Parkway, N., Suite 220, Jacksonville, FL 32256 | 2010-05-11 |
| 1306972161 | Robin Paylor Johnson | Nurse Practitioner | 10337 San Jose Blvd Ste 104, Jacksonville, FL 32257-8223 | 2007-02-26 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1336191121 | Lori M Olivarez | Nurse Practitioner | 7807 Baymeadows Rd E., Suite 207, Jacksonville, FL 32256 | 2006-05-17 |
| 1568453504 | Dolores C Jones | Nurse Practitioner | 8344 Whitmire Ct, Jacksonville, FL 32216-1159 | 2005-10-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on MRS. MELISSA GRIFFIN TYLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.