ANGELA GONZALES BLACKBURN NURSE PRACTITIONER
NPI 1467257337
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Angela Blackburn's NPI number?

The NPI number for Angela Blackburn is 1467257337. It was assigned to this individual provider in the NPPES registry on February 15, 2025.

Q: What is Angela Blackburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Blackburn was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since February 15, 2025

3940 MOSS OAK DR, JACKSONVILLE, FL 32277(904) 910-4688 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Angela Gonzales Blackburn Nurse Practitioner NPPES

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

ANGELA GONZALES BLACKBURN NURSE PRACTITIONER (NPI 1467257337) is an individual family provider in Jacksonville, Florida, licensed in Florida (11037313) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1467257337

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANGELA GONZALES BLACKBURNCredential: NURSE PRACTITIONER

Location Address3940 MOSS OAK DRJacksonville, FL 32277-1325

Mailing Address3940 Moss Oak DrJacksonville, FL 32277-1325 · (904) 910-4688

Phone(904) 910-4688

Sole ProprietorYes

Enumeration DateFebruary 15, 2025

NPPES CertifiedFebruary 15, 2025

✔ NPI 1467257337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11037313

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11037313 (FL)

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 11037313 (FL)

3940 MOSS OAK DR, Jacksonville, FL 32277

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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 Angela Blackburn's NPI number?

The NPI number for Angela Blackburn is 1467257337. It was assigned to this individual provider in the NPPES registry on February 15, 2025.

Where is Angela Blackburn located?

Angela Blackburn practices at 3940 Moss Oak Dr, Jacksonville, FL 32277. The listed phone number is (904) 910-4688.

What is Angela Blackburn'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 Angela Blackburn was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.