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Individual

JENNIFER L. WICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9343457
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019798900
FL
01
5YDQP
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/09/2005
Last updated
03/26/2025
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