Individual
ANNETTE FAULKNER WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14601 SWANSEA CT, JACKSONVILLE, FL 32258-4446
(904) 616-4648
Mailing address
14601 SWANSEA CT, JACKSONVILLE, FL 32258-4446
(904) 616-4648
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1365492
FL
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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