Provider Demographics
NPI:1285007039
Name:HYCHE, NAFASHIA
Entity Type:Individual
Prefix:
First Name:NAFASHIA
Middle Name:
Last Name:HYCHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NAFASHIA
Other - Middle Name:
Other - Last Name:GLENN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2833 REMINGTON GREEN CIR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-3752
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:305 NW CHRISTIAN CT
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-4837
Practice Address - Country:US
Practice Address - Phone:386-752-7813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator