Miss Tara Leeanne Herndon, APRN in Jacksonville, FL

Miss Tara Leeanne Herndon, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 11761 Beach Blvd Ste 8, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 642-3304.

Miss Tara Leeanne Herndon is licensed to practice in Florida (license number APRN11017994) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154076495.

Contact Information

	Miss Tara Leeanne Herndon, APRN
	11761 Beach Blvd Ste 8, Jacksonville, FL 32246-6699
	(904) 642-3304
	(904) 642-8375

Map and Direction

Provider's Profile

Full Name	Miss Tara Leeanne Herndon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11761 Beach Blvd Ste 8, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154076495
Provider Enumeration Date: 02/15/2022
Last Update Date: 02/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9436252640
Enrollment ID: I20230131000517

Medical Identifiers

Medical identifiers for Miss Tara Leeanne Herndon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154076495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11017994 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Tara Leeanne Herndon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Tara Leeanne Herndon, APRN 11761 Beach Blvd Ste 8, Jacksonville, FL 32246-6699 Ph: (904) 642-3304	Miss Tara Leeanne Herndon, APRN 11761 Beach Blvd Ste 8, Jacksonville, FL 32246-6699 Ph: (904) 642-3304

Reviews and Comments

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Miss Tara Leeanne Herndon, APRN - Medicare Nurse Practitioner in Jacksonville, FL