NPI 1164293684

Taniko Hampton

Practitioner Peer Specialist Jacksonville, FL

Practice location

Address: 5927 Old Timuquana Rd, Jacksonville, FL 32210-7889
Phone: (904) 933-7389
Mailing address: 5560 Cliff St, Jacksonville, FL 32205-4771

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CRPS.0101132-P (FL)

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Registry record

NPI: 1164293684
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2024
Record last updated: 12 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.