MRS. ANDREA NICOLE WILSON CNP NPI 1891341681

NPI Information

NPI: 1891341681
Provider Name: MRS. ANDREA NICOLE WILSON, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 546-7065
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MRS. Andrea Nicole Wilson, CNP is a family nurse practitioner in Jacksonville, FL. MRS. Andrea Nicole Wilson, CNP NPI is 1891341681. 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:

2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214-716
Phone: (904) 546-7065

The NPI 1891341681 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2019 and was last updated on 4/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN.446106	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.024771	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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