Wicker, Jacquelyn J

Wicker, Jacquelyn J is an individual health care provider with primary practice located at 1888 S 14Th St , Fernandina Beach FL 32034-3054. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wicker, Jacquelyn J can be contacted via phone (904) 261-0922.

Contact Information

Primary practice address
1888 S 14Th St Fernandina Beach FL 32034-3054
Phone: (904) 261-0922
Fax: (904) 277-8872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11004323 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11004323 Florida

Profile Details

NPI number 1538624036
LBN Legal business name Wicker, Jacquelyn J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2019
Last updated Mar 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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