ANNETTE FAULKNER WALL


Address: 14601 Swansea Ct, Jacksonville, FL 32258-4446
Phone: 9046164648

ANNETTE FAULKNER WALL (NPI# 1366977902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366977902
Entity Type Individual
Full Name ANNETTE FAULKNER WALL
Credential ARNP
Practice Address 14601 Swansea Ct
Jacksonville
FL 32258-4446
Practice Telephone 9046164648
Mailing Telephone 9046164648
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
1365492 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 14601 SWANSEA CT
City JACKSONVILLE
State FL
Zip Code 32258-4446

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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1003969627 Mike J Primeaux Nurse Practitioner 10601 San Jose Blvd Ste 208, Jacksonville, FL 32257-8203 2007-01-18
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Competitor

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City JACKSONVILLE
Zip Code 32258

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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