Individual provider · Type 1 NPI

Walter Thomas Wiswell

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1215469382 Active

Practice location

1818 Valencia Dr
Jacksonville, FL 32207-2533

Call (904) 434-6281 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215469382

Walter Thomas Wiswell's National Provider Identifier is 1215469382, issued on Mar 29, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 21, 2021.