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

Cody Tripp, NP

Individual provider Family Nurse Practitioner · NPI 1760051106

Cody Tripp, NP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
5
Licensed in
FL, TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4475 San Juan Ave
Jacksonville, FL 32210-3357
Phone: (904) 389-0314
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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 11013500 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0000029647 (TN)

Record details

NPI number1760051106
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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