Individual provider · Type 1 NPI
Tara Renee Blackshear
Family Nurse Practitioner · Jacksonville, FL
NPI number
1881199396
Active
Practice location
655 W 8th St
Jacksonville, FL 32209-6511
Mailing address
450077 State Road 200 Ste 12
Callahan, FL 32011-3863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9342671 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1881199396
Tara Renee Blackshear's National Provider Identifier is 1881199396, issued on Mar 27, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 4, 2023.