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JADE TAN
NPI 1376212944
Registered Nurse - Critical Care Medicine in Jacksonville, FL

Active since September 08, 2021
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258(904) 271-6000 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jade Tan NPPES

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

JADE TAN (NPI 1376212944) is an individual critical care medicine provider in Jacksonville, Florida, licensed in Texas (772917) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1376212944
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameJADE TAN
Location Address14550 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-2460
Mailing Address24314 Gold Cheyenne WayKaty, TX 77493-3912 · (281) 757-2281
Phone(904) 271-6000
Sole ProprietorYes
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1376212944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in TX · 772917
14550 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258
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Other Providers at the Same Location NPPES 20

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

JORDAN KUDLAK
Registered Nurse (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
MRS. RENEE FRANKLIN GOLSON DPT
Physical Therapist
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6575
DYSHELLA ATKINS
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
JONATHAN MICHAEL BONIE RN
Registered Nurse (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
LAUREN CRAWFORD BREWER
Nurse Practitioner (Pediatrics)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
JOSHUA MCLEAN AGACNP-BC
Nurse Practitioner (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6840
VICKIE CHAPMAN-SHAW
Nurse Practitioner (Neonatal, Critical Care)
14550 OLD SAINT AUGUSTINE RD, NICU
JACKSONVILLE, FL 32258
Duval County (904) 271-6700
LAUREN NICOLE RUDDER BSN, RN
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000

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 Jade Tan's NPI number?

The NPI number for Jade Tan is 1376212944. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Jade Tan located?

Jade Tan practices at 14550 Old Saint Augustine Rd, Jacksonville, FL 32258. The listed phone number is (904) 271-6000.

What is Jade Tan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Jade Tan was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.