Individual provider · Type 1 NPI

Bradley James Wine, RN

Medical-Surgical Registered Nurse · Jacksonville, FL

NPI number 1013553650 Active

Practice location

800 Prudential Dr
Jacksonville, FL 32207-8202

Call (904) 202-2000 Map

Mailing address

1010 N 102nd St Ste 300
Omaha, NE 68114-2122

Specialties and licenses

Taxonomy	Code	License
Medical-Surgical Registered Nurse Primary	163WM0705X	RN9524431 (FL)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1013553650

Bradley James Wine, RN's National Provider Identifier is 1013553650, issued on Nov 19, 2019. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 19, 2019.