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LINDA LOU TISDALE ARNP
NPI 1215059829
Nurse Practitioner - Family in Jacksonville, FL

Active since April 04, 2007
1760 EDGEWOOD AVE W, JACKSONVILLE, FL 32208(904) 301-4900(904) 924-1773 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Linda Lou Tisdale Arnp NPPES

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

LINDA LOU TISDALE ARNP (NPI 1215059829) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9220367) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1215059829
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLINDA LOU TISDALECredential: ARNP
Location Address1760 EDGEWOOD AVE WJacksonville, FL 32208-7209
Mailing Address215 E 6th StJacksonville, FL 32206-4505 · (904) 356-1630
Phone(904) 301-4900
Fax(904) 924-1773
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215059829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9220367
1760 EDGEWOOD AVE W, Jacksonville, FL 32208
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Other Names 1

Other Name (5)Linda Lou Leake

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA SUSAN MARTINEZ LCSW
Social Worker (Clinical)
1760 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 301-4900
PENNIC, WOOTEN& ASSOCIATES FAMILY MEDICAL CARE PA
Family Medicine
1760 EDGEWOOD AVE W, B
JACKSONVILLE, FL 32208
Duval County (904) 358-8480
MRS. DANNA CHARLENE MORRIS MN, APRN, FNP-C
Nurse Practitioner (Family)
1760 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 253-1030
AARON THOMAS SHARP MD
Family Medicine
1760 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (940) 358-8480
DR. WILLIE A PENNICK MD
Family Medicine
1760 EDGEWOOD AVE W, SUITE B
JACKSONVILLE, FL 32208
Duval County (904) 358-8480
FL DEPARTMENT OF HEALTH
Public Health or Welfare
1760 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 253-1030
DR. JAMES L GENTRY MD
Pediatrics
1760 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 301-4900
DR. KENNETH E NIXON MD
Family Medicine
1760 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 253-1030

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 Linda Tisdale's NPI number?

The NPI number for Linda Tisdale is 1215059829. It was assigned to this individual provider in the NPPES registry on April 4, 2007. The provider is also known as Linda Lou Leake.

Where is Linda Tisdale located?

Linda Tisdale practices at 1760 Edgewood Ave W, Jacksonville, FL 32208. The listed phone number is (904) 301-4900.

What is Linda Tisdale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Linda Tisdale was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.