Provider Demographics
NPI:1346880226
Name:YORK, JOSHUA TERRELL (CNA)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:TERRELL
Last Name:YORK
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 LEON RD APT 2913
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-8675
Mailing Address - Country:US
Mailing Address - Phone:352-415-5795
Mailing Address - Fax:
Practice Address - Street 1:1755 LEON RD APT 2913
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-8675
Practice Address - Country:US
Practice Address - Phone:352-415-5795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA268465376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty