Individual provider · Type 1 NPI

Stephanie C. Wilder, PA-C

Medical Physician Assistant · Orange Park, FL

NPI number 1508093873 Active

Practice location

1689 Eagle Harbor Pkwy E, Suite A
Orange Park, FL 32003-4817

Call (904) 269-1366 Map

Fax (904) 264-9750

Mailing address

705 Wells Rd Ste 300
Orange Park, FL 32073-2982

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1508093873

Stephanie C. Wilder, PA-C's National Provider Identifier is 1508093873, issued on Jun 15, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orange Park, FL. The record was last updated on Sep 16, 2022.