Tisa Reid, APRN
Nurse Practitioner, Family in Jacksonville, FL. Individual provider (NPI-1).
NPI number1164031894
StatusActive
Last updated in NPPESNov 11, 2025
Details
- NPI
- 1164031894
- Entity type
- Individual (NPI-1)
- Name
- Tisa Reid
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2020
- Certification date
- Nov 11, 2025
- Last updated
- Nov 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11008385 | FL | Yes |
Practice location
7751 Baymeadows Rd E Ste HJacksonville, FL 32256-5836
Phone 904-425-6963 · Fax 904-674-0155
Mailing address
2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328
Phone 877-856-3774 · Fax 239-599-2612
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