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

Tabitha Jo Shepherd, CRNA

Individual provider Neonatal Intensive Care Registered Nurse · NPI 1023833555

Tabitha Jo Shepherd, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with North Florida Anesthesia Consultants Inc, a 108-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone: (904) 308-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11036894 (FL)
Neonatal Intensive Care Registered Nurse Taxonomy 163WN0002X · Licence RN9580294 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 155023 (FL)

Record details

NPI number1023833555
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address2664 Cold Stream Ln, Green Cove Springs, FL 32043-8623

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Florida Anesthesia Consultants Inc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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