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

Shana McCloud, APRN

Individual provider Internal Medicine Physician · NPI 1679150338

Shana McCloud, APRN is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices with Kopa LLC, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
Specialties on file
3
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

5011 Gate Pkwy Bldg 100 Ste 100
Jacksonville, FL 32256-3225
Phone: (904) 512-7239
Fax: (866) 380-0827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5720 Fairbridge St, Cocoa, FL 32927-2255 — (321) 549-9026

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11011966 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence APRN11011966 (FL)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence APRN11011966 (FL)

Record details

NPI number1679150338
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kopa Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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