Healthcare Provider Details

I. General information

NPI: 1477401388
Provider Name (Legal Business Name): CONFIDENT HEART LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6269 DAYLILLY RD
MACCLENNY FL
32063-6037
US

IV. Provider business mailing address

6269 DAYLILLY RD
MACCLENNY FL
32063-6037
US

V. Phone/Fax

Practice location:
  • Phone: 904-699-1145
  • Fax: 904-877-3368
Mailing address:
  • Phone: 904-699-1145
  • Fax: 904-877-3368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TAMEKA DENISE TERRY
Title or Position: OWNER
Credential: APRN
Phone: 904-699-1145