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Active NPI 1518703933 Individual Practitioner Female Practitioner

Miranda A Black , LPN

Registered Nurse • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Miranda Black, LPN is a registered healthcare professional specializing in Registered Nurse in Jacksonville, FL. Practice services are available at 2230 PHOENIX AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2230 Phoenix Ave

Jacksonville, FL 322063159

Telephone 9044667339

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
263 Specialists

Practicing in Jacksonville, FL (4872 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-19
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License FL 9674808

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

State License FL PN5169477

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Practice Locations

1985 W 30th St

Jacksonville, FL 322093787

Phone: 9044667339

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location May 19, 2025

Registered at 2230 PHOENIX AVE, JACKSONVILLE, FL 322063159 (Tel: 9044667339)

NPI Profile Active July 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 04, 2024

Registered at 1985 W 30TH ST, JACKSONVILLE, FL 322093787 (Tel: 9044667339)

📍
Updated Business Mailing Address July 04, 2024

Registered at 1985 W 30TH ST, JACKSONVILLE, FL 322093787 (Tel: 9044667339)

👤
Provider Name / Credentials Updated July 04, 2024

Recorded as MIRANDA BLACK, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2024

Licensed Practical Nurse (License #PN5169477 in FL)

🟢
Initial NPI Registration & Enumeration July 04, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518703933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2024
Last Update: May 19, 2025
Sole Proprietor: No

Mailing Address

1985 W 30th St

Jacksonville, FL 322093787

Phone: 9044667339

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.