Provider Demographics
NPI:1124754007
Name:TESTAMENT HEALTH INC
Entity type:Organization
Organization Name:TESTAMENT HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:UKAGA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:850-570-7078
Mailing Address - Street 1:801 EAGLE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-1206
Mailing Address - Country:US
Mailing Address - Phone:850-570-7078
Mailing Address - Fax:
Practice Address - Street 1:801 EAGLE VIEW DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32311-1206
Practice Address - Country:US
Practice Address - Phone:850-570-7078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty