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

Miranda A Black, LPN

Individual provider Licensed Practical Nurse · NPI 1518703933

Miranda A Black, LPN is a Licensed Practical Nurse in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

2230 Phoenix Ave
Jacksonville, FL 32206-3159
Phone: (904) 466-7339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1985 W 30th St, Jacksonville, FL 32209-3787 — (904) 466-7339

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 9674808 (FL)
Licensed Practical Nurse Taxonomy 164W00000X · Licence PN5169477 (FL)

Record details

NPI number1518703933
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedJuly 4, 2024
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address1985 W 30th St, Jacksonville, FL 32209-3787

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