Individual
MS. JILL CHRISTINE WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
655 W 8TH ST, UFJP ANESTHESIOLOGY, JACKSONVILLE, FL 32209-6511
(904) 244-4195
(904) 244-4908
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2774692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3067378-00
—
FL
05
—
720686430A
—
GA
Enumeration date
04/04/2006
Last updated
05/26/2010
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