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Individual

BRANDI E WIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
820 PRUDENTIAL DR STE 515, JACKSONVILLE, FL 32207-8207
(904) 396-4886
(904) 390-7487
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11025410
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11025410
FL

Other

Enumeration date
06/07/2023
Last updated
07/02/2024
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