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 1:1620 CORSAIR LN STE 201
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-8558
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:833-740-3601
Practice Address - Street 1:1620 CORSAIR LN STE 201
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-8484
Practice Address - Country:US
Practice Address - Phone:904-787-8850
Practice Address - Fax:833-740-3601
Is Sole Proprietor?:No
Enumeration Date:2012-08-17
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11018830363LF0000X, 363LP0808X
GARN197528363LF0000X, 363LP0808X
HIAPRN-2720363LP0808X, 363LF0000X
NYF4021501363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily