Provider Demographics
NPI:1437483278
Name:VOISIN, TINA M (ARNP)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:M
Last Name:VOISIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:K
Other - Last Name:MARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:705 WELLS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-2982
Mailing Address - Country:US
Mailing Address - Phone:904-282-6331
Mailing Address - Fax:904-282-4117
Practice Address - Street 1:14011 BEACH BLVD
Practice Address - Street 2:STE 120
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32250-1507
Practice Address - Country:US
Practice Address - Phone:904-223-6400
Practice Address - Fax:904-223-6420
Is Sole Proprietor?:No
Enumeration Date:2009-09-27
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 0390998363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002515000Medicaid
FLCM163XMedicare PIN