Individual
AGNES WOZNIAK WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9337637
FL
363LF0000X
Family Nurse Practitioner
0993433
CO
Other
Enumeration date
10/04/2017
Last updated
11/15/2018
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