Individual provider · Type 1 NPI

Jamie Wilson Iv, APRN

Adult Health Nurse Practitioner · St. Petersburg, FL

NPI number 1104557206 Active

Practice location

1839 Central Avenue
St. Petersburg, FL 33713-8900

Fax (727) 821-7213

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11020316 (FL)
Adult Health Nurse Practitioner Primary 363LA2200XAPRN11020316 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1104557206

Jamie Wilson Iv, APRN's National Provider Identifier is 1104557206, issued on Jun 20, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Petersburg, FL. The record was last updated on May 24, 2024.