Individual
AMY HELEN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 2ND ST N APT A, JACKSONVILLE BEACH, FL 32250-7281
(740) 502-7183
Mailing address
1210 2ND ST N APT A, JACKSONVILLE BEACH, FL 32250-7281
(740) 502-7183
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006890
IL
363A00000X
Physician Assistant
PA9111747
FL
Other
Enumeration date
06/13/2018
Last updated
09/15/2022
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