Provider Demographics
NPI:1578006029
Name:STRICKLAND, TONJA D (LPN)
Entity Type:Individual
Prefix:MS
First Name:TONJA
Middle Name:D
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9047 SAN JOSE BLVD
Mailing Address - Street 2:APT 616
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-8015
Mailing Address - Country:US
Mailing Address - Phone:904-517-4305
Mailing Address - Fax:
Practice Address - Street 1:9047 SAN JOSE BLVD
Practice Address - Street 2:APT 616
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8015
Practice Address - Country:US
Practice Address - Phone:904-517-4305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN 5212639164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse