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

Mrs. Shantell Polidor, APRN

Individual provider Family Nurse Practitioner · NPI 1770233579

Mrs. Shantell Polidor, APRN is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with Heal Precisely of Northside LLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

6841 Blanding Blvd
Jacksonville, FL 32244-4418
Phone: (904) 862-2175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5752 Rover Dr, Jacksonville, FL 32244-1430 — (904) 713-7428

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11018822 (FL)

Record details

NPI number1770233579
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 25, 2022
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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 Heal Precisely Of Northside Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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