Individual provider · NPI-1

Derrick Wayne Tuggerson Jr., CNA

Home Health Aide · Ocala, FL

NPI number1386172906

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1386172906
Entity type: Individual (NPI-1)
Name: Mr. Derrick Wayne Tuggerson Jr.
Credential: CNA
Sex: Male
Sole proprietor: No
Enumeration date: May 26, 2017
Last updated: Jul 21, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
374U00000X	Home Health Aide	–	FL	Yes
372500000X	Chore Provider	–	FL
372500000X	Chore Provider	AHCHA	FL
372600000X	Adult Companion	FL19650	FL
373H00000X	Day Training/Habilitation Specialist	–	FL
3747A0650X	Technician, Attendant Care Provider	–	FL
3747P1801X	Technician, Personal Care Attendant	–	FL
376J00000X	Homemaker	–	FL
390200000X	Student in an Organized Health Care Education/Training Program	–	FL

Practice location

3344 Sw 51st Ter
Ocala, FL 34474-9484

Phone 352-299-1961 · Fax 352-575-1080

Mailing address

3344 Sw 51st Ter
Ocala, FL 34474-9484

Phone 352-299-1961 · Fax 352-575-1080

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.