Individual
ONISHA RENEE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2317 GILMORE ST, JACKSONVILLE, FL 32204-3119
(888) 322-4057
Mailing address
4039 KATANGA DR S, JACKSONVILLE, FL 32209-1938
(904) 728-9459
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11035862
FL
Other
Enumeration date
10/28/2024
Last updated
11/15/2024
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