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

Tara Renee Blackshear

Individual provider Family Nurse Practitioner · NPI 1881199396

Tara Renee Blackshear is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with University of Florida Jacksonville Physicians, Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Florida.

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

655 W 8th St
Jacksonville, FL 32209-6511
Phone: (904) 244-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9342671 (FL)

Record details

NPI number1881199396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023
Mailing address450077 State Road 200 Ste 12, Callahan, FL 32011-3863

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 University Of Florida Jacksonville Physicians, Inc. — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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