Individual
MS. BROOK EDEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
4655 SALISBURY RD STE 220, JACKSONVILLE, FL 32256-0959
(904) 570-9404
(904) 900-2224
Mailing address
4655 SALISBURY RD STE 220, JACKSONVILLE, FL 32256-0959
(904) 570-9404
(904) 900-2224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9285584
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9285584
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100762700
—
FL
Enumeration date
07/09/2018
Last updated
01/30/2026
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