Individual
ASHLEY WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
75075 MORNING GLEN CT, YULEE, FL 32097-0623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9453790
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11005635
FL
Other
Enumeration date
01/07/2020
Last updated
10/22/2021
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