person
Latasha Wiley
Primary Care Nurse Practitioner in Jacksonville, Florida
NPI 1821628207

Latasha Wiley is a Primary Care Nurse Practitioner based in Jacksonville, FL and is specialized in Primary Care. Latasha Wiley practices in Jacksonville, FL. The NPI Number for Latasha Wiley is 1821628207 and holds a License No. APRN11005781 (Florida).

The current practice location address for Latasha Wiley is 11698 Alexandra Dr, Jacksonville, FL and can be reached out via phone at 904-598-4229.

Location: 11698 Alexandra Dr, Jacksonville, FL, 32218-8874
person
Provider Profile Details
NPI Number
1821628207
Provider Name
Latasha Wiley
Credential
Provider Entity Type
Individual
Gender
Female
Address
11698 Alexandra Dr, Jacksonville, FL, 32218-8874
Phone Number
904-598-4229
Fax Number
Provider Enumeration Date
01/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11698 Alexandra Dr
City
State
Zip
32218-8874
Phone Number
904-598-4229
Fax Number
person
Provider Business Mailing Address Details
Address
11698 Alexandra Dr
City
State
Zip
32218-8874
Phone Number
904-598-4229
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
APRN11005781 (Florida)
Definition
Definition to come...
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