Latasha Wiley is a primary care nurse practitioner in Jacksonville, FL. Latasha Wiley NPI is 1821628207. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11698 ALEXANDRA DR
JACKSONVILLE, FL
ZIP 32218-874
Phone: (904) 598-4229
The NPI 1821628207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/24/2020 and was last updated on 1/24/2020.