JACQUELYN J WICKER (NPI# 1538624036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538624036 |
| Entity Type | Individual |
| Full Name | JACQUELYN J WICKER |
| Credential | APRN |
| Practice Address |
6444 Beach Blvd Jacksonville FL 32216-2891 |
| Mailing Address |
1863 Parkcrest Dr Jacksonville FL 32211-4933 |
| Practice Telephone | 9048059600 |
| Practice Fax Number | 9058050084 |
| Mailing Telephone | 9043021108 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11004323 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 University Blvd N, Jacksonville, FL 322113321 | 9043021108 |
| Street Address |
6444 BEACH BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-2891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649253790 | Harold Paul Dietzius | Internal Medicine | 6444 Beach Blvd, Jacksonville, FL 32216 | 2005-11-22 |
| 1922630128 | Michael Craig Walker | Nurse Practitioner | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2020-02-06 |
| 1013476597 | Alecia G Dixon | Nurse Practitioner | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2019-03-14 |
| 1831689678 | Millely Josefina Summers | Nurse Practitioner | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2018-05-17 |
| 1417479460 | Saidy Harper | Nurse Practitioner | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2017-07-12 |
| 1023541570 | Nina Reigler | Physician Assistant | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2017-04-11 |
| 1265974059 | Iulia Gabriela Simon | Nurse Practitioner | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2016-11-09 |
| 1366859373 | Katie L Kerlin | Nurse Practitioner | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2014-07-22 |
| 1447339528 | Jacksonville Cardiovascular Center Pl | Internal Medicine | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2006-11-02 |
| 1720051899 | Jesus Garcia Pulido | Specialist | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on JACQUELYN J WICKER.
| 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.