Individual
MIRANDA A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2230 PHOENIX AVE, JACKSONVILLE, FL 32206-3159
(904) 466-7339
Mailing address
1985 W 30TH ST, JACKSONVILLE, FL 32209-3787
(904) 466-7339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9674808
FL
164W00000X
Licensed Practical Nurse
PN5169477
FL
Other
Enumeration date
07/04/2024
Last updated
05/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us