ANDERSON HEALTHCARE MASTERS LLC
NPI 1033729546
Nurse Practitioner - Primary Care in Jacksonville, FL

Q: What is Anderson Healthcare Masters LLC's NPI number?

The NPI number for Anderson Healthcare Masters LLC is 1033729546. It was assigned to this organization in the NPPES registry on August 10, 2020.

Q: What is Anderson Healthcare Masters LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since August 10, 2020

3390 KORI RD, JACKSONVILLE, FL 32257(904) 638-3511 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2024, Aug 19, 2020, Aug 10, 2020 (3 updates tracked since 2020).

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About Anderson Healthcare Masters Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDERSON HEALTHCARE MASTERS LLC (NPI 1033729546) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Jacksonville and lists Tanisha Anderson, Aprn, as its authorized official.

NPPES Registry Identity

NPI1033729546

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameANDERSON HEALTHCARE MASTERS LLC

Location Address3390 KORI RDJacksonville, FL 32257-2419

Mailing Address7643 Gate Pkwy Ste 104-523Jacksonville, FL 32256-3092 · Fax (904) 253-3492

Phone(904) 638-3511

Organization SubpartNo

Authorized OfficialTanisha AndersonAprn · (904) 909-1227

Enumeration DateAugust 10, 2020

Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration

NPPES CertifiedMarch 4, 2024

✔ NPI 1033729546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

3390 KORI RD, Jacksonville, FL 32257

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Secondary Practice Location 1

Location 12332 Brian Lakes Dr EJacksonville, FL 32221-2802 · Phone (904) 909-1227

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anderson Healthcare Masters LLC's NPI number?

The NPI number for Anderson Healthcare Masters LLC is 1033729546. It was assigned to this organization in the NPPES registry on August 10, 2020.

Where is Anderson Healthcare Masters LLC located?

Anderson Healthcare Masters LLC is located at 3390 Kori Rd, Jacksonville, FL 32257. The listed phone number is (904) 638-3511.

What is Anderson Healthcare Masters LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Anderson Healthcare Masters LLC was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.