Individual
WENDY LYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 KING ST, JACKSONVILLE, FL 32204-2410
(904) 760-4904
Mailing address
385 MAPLEWOOD DR, SAINT JOHNS, FL 32259-4374
(229) 881-0381
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11004528
FL
Other
Enumeration date
10/16/2019
Last updated
06/17/2020
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