Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Gonzales Blackburn, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1467257337

Angela Gonzales Blackburn, NURSEPRACTITIONER is a Nurse Practitioner in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

3940 Moss Oak Dr
Jacksonville, FL 32277-1325
Phone: (904) 910-4688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11037313 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 11037313 (FL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 11037313 (FL)

Record details

NPI number1467257337
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedFebruary 15, 2025
Last updated in NPPESFebruary 15, 2025
Certification dateFebruary 15, 2025

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