JACQUELINE TYSON
NPI 1225602055
Counselor - Mental Health in Jacksonville, FL

Active since May 17, 2021
3890 DUNN AVE, JACKSONVILLE, FL 32218(904) 765-0665 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Tyson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE TYSON (NPI 1225602055) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1225602055
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE TYSON
Location Address3890 DUNN AVEJacksonville, FL 32218-6428
Mailing Address3890 Dunn AveJacksonville, FL 32218-6428 · (904) 765-0665
Sole ProprietorNo
Enumeration DateMay 17, 2021
NPPES CertifiedMay 17, 2021
NPI 1225602055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3890 DUNN AVE, Jacksonville, FL 32218

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
3890 DUNN AVE, SUITE 1104
JACKSONVILLE, FL 32218
Internal Medicine (Cardiovascular Disease)
3890 DUNN AVE, STE 203
JACKSONVILLE, FL 32218
Counselor (Addiction (Substance Use Disorder))
3890 DUNN AVE
JACKSONVILLE, FL 32218
Ophthalmology
3890 DUNN AVE, STE 902
JACKSONVILLE, FL 32218
Counselor (Mental Health)
3890 DUNN AVE
JACKSONVILLE, FL 32218
Counselor (Mental Health)
3890 DUNN AVE
JACKSONVILLE, FL 32218
Ophthalmology
3890 DUNN AVE, #902
JACKSONVILLE, FL 32218
Podiatrist
3890 DUNN AVE, STE 101
JACKSONVILLE, FL 32218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Tyson's NPI number?

The NPI number for Jacqueline Tyson is 1225602055. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Jacqueline Tyson located?

Jacqueline Tyson practices at 3890 Dunn Ave, Jacksonville, FL 32218. The listed phone number is (904) 765-0665.

What is Jacqueline Tyson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacqueline Tyson was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.