Individual provider · Type 1 NPI

Roger Dale Wade, RN

Registered Nurse · Jacksonville, FL

NPI number 1316504434 Active

Practice location

14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460

Mailing address

760 Palmetto St
Oviedo, FL 32765-9548

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN9340067 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1316504434

Roger Dale Wade, RN's National Provider Identifier is 1316504434, issued on May 23, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 23, 2019.