Tana McDaniel, NP
Nurse Practitioner, Family in Jacksonville, FL. Individual provider (NPI-1).
NPI number1679465645
StatusActive
Last updated in NPPESJul 16, 2025
Details
- NPI
- 1679465645
- Entity type
- Individual (NPI-1)
- Name
- Tana McDaniel
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2025
- Certification date
- Jul 16, 2025
- Last updated
- Jul 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11040973 | FL | Yes |
Practice location
1827 Mount Vernon DrJacksonville, FL 32210-1253
Phone 352-263-7474
Mailing address
1827 Mount Vernon DrJacksonville, FL 32210-1253
Phone 352-263-7474
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