Individual provider · Type 1 NPI
Johnnetta Nicole Wider, RN
Ambulatory Care Registered Nurse · Jacksonville, FL
NPI number
1710329495
Active
Practice location
5523 Kilcullen Ln
Jacksonville, FL 32244-6258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 2911422 (FL) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1710329495
Johnnetta Nicole Wider, RN's National Provider Identifier is 1710329495, issued on Jul 23, 2013. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 23, 2013.