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

Tyler Larae Jordan-Black

Individual provider Family Nurse Practitioner · NPI 1811571342

Tyler Larae Jordan-Black is a Nurse Practitioner in Gainesville, Florida. Qualified in 2021, 5 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 284-4984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1410 Sw 32nd Pl, Bell, FL 32619-1610 — (352) 284-4984

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11012923 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11012923 (FL)

Record details

NPI number1811571342
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Gainesville