Individual provider · Type 1 NPI

Christy Tisdall

Ambulatory Care Registered Nurse · Jacksonville, FL

NPI number 1902730633 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2327 Map

Fax (904) 953-0272

Mailing address

193 Aruba Ln
Ponte Vedra Beach, FL 32082-1606

Specialties and licenses

Taxonomy	Code	License
Ambulatory Care Registered Nurse Primary	163WP2201X	RN9642803 (FL)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1902730633

Christy Tisdall's National Provider Identifier is 1902730633, issued on Jun 9, 2026. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 9, 2026.