Individual
HEATHER WAGNER SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
655 W 8TH STREET, JACKSONVILLE, FL 32209
(904) 244-0411
Mailing address
1833 BOULEVARD, POB 5TH FLOOR, JACKSONVILLE, FL 32206-4382
(904) 383-1040
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
APRN9249214
FL
363LF0000X
Family Nurse Practitioner
ARNP 9249214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013588900
—
FL
Enumeration date
07/07/2014
Last updated
04/16/2026
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