Provider Demographics
NPI:1467700757
Name:PERRIER, TYQUITTA JANELL (FNP, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:TYQUITTA
Middle Name:JANELL
Last Name:PERRIER
Suffix:
Gender:F
Credentials:FNP, PMHNP
Other - Prefix:MS
Other - First Name:TYQUITTA
Other - Middle Name:JANELL
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP, PMHNP
Mailing Address - Street 1:1075 OAKLEAF PLANTATION PKWY STE 304
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-3625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 PENN PLZ STE 4000
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10119-4199
Practice Address - Country:US
Practice Address - Phone:855-227-6562
Practice Address - Fax:888-733-9280
Is Sole Proprietor?:No
Enumeration Date:2012-08-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN197528363LF0000X, 363LP0808X
HIAPRN-2720363LF0000X, 363LP0808X
FL11018830363LF0000X, 363LP0808X
NYF4021501363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily