Individual
JENNIFER L. WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 5TH FLOOR, TAMPA, FL 33606-3603
(813) 259-0600
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
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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