Taylor Blade, APRN
Nurse Practitioner, Family in Jacksonville, FL. Individual provider (NPI-1).
NPI number1609594902
StatusActive
Last updated in NPPESOct 12, 2025
Details
- NPI
- 1609594902
- Entity type
- Individual (NPI-1)
- Name
- Taylor Blade
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2022
- Certification date
- Oct 12, 2025
- Last updated
- Oct 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11020881 | FL | Yes |
| 207Q00000X | Family Medicine | 11020881 | FL |
Practice location
50 Duval Station RdJacksonville, FL 32218-6801
Phone 866-389-2727
Mailing address
50 Duval Station RdJacksonville, FL 32218-6801
Phone 866-389-2727
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