Individual provider · Type 1 NPI

Carter Jackson Wegner

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

NPI number 1639010705 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (701) 540-7603 Map

Mailing address

1021 N Indian River Dr
Cocoa, FL 32922-7532

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 1639010705

Carter Jackson Wegner's National Provider Identifier is 1639010705, issued on Apr 2, 2026. 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 Apr 2, 2026.