Provider Demographics
NPI:1598212540
Name:HARDEN-GIVENS, SYLVESTER JOSHUA (CNA / CMA /)
Entity Type:Individual
Prefix:
First Name:SYLVESTER
Middle Name:JOSHUA
Last Name:HARDEN-GIVENS
Suffix:
Gender:M
Credentials:CNA / CMA /
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 MONCRIEF RD # 101
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-4340
Mailing Address - Country:US
Mailing Address - Phone:904-503-2404
Mailing Address - Fax:904-423-0426
Practice Address - Street 1:3416 MONCRIEF RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-4340
Practice Address - Country:US
Practice Address - Phone:904-503-2404
Practice Address - Fax:904-426-0426
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No374U00000XNursing Service Related ProvidersHome Health Aide