Individual provider · Type 1 NPI

Carolyn Wiley

Nurse Practitioner · Jacksonville, FL

NPI number 1821917295 Active

Practice location

8351 Westport Rd Fl 32244
Jacksonville, FL 32244-5901

Mailing address

2270 Nolan Dr
Largo, FL 33770-4324

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11048836 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821917295

Carolyn Wiley's National Provider Identifier is 1821917295, issued on Jul 10, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 10, 2026.