Tanisha Anderson, DNP, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Jacksonville, FL
NPI 1124526025 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1124526025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN9297657 (FL)
- Practice address
- 12412 San Jose Blvd Ste 402
Jacksonville, FL 32223-8620 - Phone
- (904) 638-3511
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Medical Services of Florida, LLC | Current |
Accepting new patients | |
| West Jax Geriatrics, LLC | Current |
Accepting new patients | |
| American Advanced Practice Network, P.C. | Current |
Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current |
Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current |
Accepting new patients | |
| Jacksonville Lung Clinic LLC | Current |
Accepting new patients | |
| Dr. Michael V. Sharpe | Past | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
3756 W 3rd St
Hilliard, FL 32046
Phone (570) 352-3063
3 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
2061 Hyde Park Rd
Jacksonville, FL 32210
Phone (904) 553-3601
1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900
1658 St Vincents Way
Ste 100
Middleburg, FL 32068
Phone (904) 354-8200
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
Interoperability endpoints
- drtanderson@direct.practicefusion.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9297657 | FL | Yes |
Addresses
Primary practice location
12412 San Jose Blvd Ste 402
Jacksonville, FL 32223-8620
Mailing address
7643 Gate Pkwy Ste 104-523
Jacksonville, FL 32256-3092
Phone (904) 638-3511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN9297657 | Other | FL | RN FL LICENSE |
| APRN9297657 | Other | FL | APRN FL LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drtanderson@direct.practicefusion.com |
Other providers in Jacksonville, FL
- Shenoa Lee Anderson
- Stephanie Anderson
- Suzanne Anderson
- Taconia D Anderson
- Takayah Joy Michelle Anderson
- Thalia Maria Anderson
- Therese Farmer Anderson
- Tina Michelle Anderson
- Victor Devon Anderson
- Volaura Shanae Anderson
All providers in Jacksonville, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.