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

Individual provider Nurse Practitioner · NPI 1871275974

Tara Sue King, ACNP is a Nurse Practitioner in St Augustine, Florida. Qualified in 2023, 3 years ago. Practices with Jacksonville Lung Clinic LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

433 Maribella Ct
St Augustine, FL 32086-7749
Phone: (484) 788-3387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11026947 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 11026947 (FL)

Record details

NPI number1871275974
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing addressPo Box 100288, Gainesville, FL 32610-0277

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Jacksonville Lung Clinic Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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