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

Salacia Cunningham

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1497263297

Salacia Cunningham is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Thriveworks Clinical - Florida Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

10199 Southside Blvd
Jacksonville, FL 32256-0758
Phone: (850) 510-9142
Fax: (850) 510-9142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN9334560 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 9334560 (FL)

Record details

NPI number1497263297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2018
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Thriveworks Clinical - Florida Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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