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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA A BLACK, LPN

Active

MIRANDA A BLACK, LPN is a Registered Nurse healthcare provider located in JACKSONVILLE, Florida. NPI 1518703933 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · JACKSONVILLE, FL

Registration Details

NPI Number
1518703933
Provider Type
Individual
Gender
Female
NPI Issued
Jul 4, 2024 (2.1009892757646 yrs)
Last Updated
May 19, 2025
Licenses
PN5169477 (FL)
9674808 (FL)

Practice Information

Address
2230 PHOENIX AVE
JACKSONVILLE, FL, 322063159
Browse FL providers · Browse ZIP 32206
Phone
9044667339
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in JACKSONVILLE, FL

Name Credential NPI
MR. ERNEST R COOK RN 1497716963
AUDREY A RODRIGUEZ RN 1831242767
MRS. CECIE ANN HAISTEN RN 1912039926
MR. ABDEL RODRIGUEZ RN 1871764498
JUNILYN COMUNALE RN 1548427669
MRS. STACY R MEYERS RN, MSN 1669622288
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.