Wilder, Stephanie C

Wilder, Stephanie C is an individual health care provider with primary practice located at 1689 Eagle Harbor Pkwy E Suite A, Orange Park FL 32003-4817. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wilder, Stephanie C can be contacted via phone (904) 269-1366.

Contact Information

Primary practice address
1689 Eagle Harbor Pkwy E Suite A Orange Park FL 32003-4817
Phone: (904) 269-1366
Fax: (904) 264-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1508093873
LBN Legal business name Wilder, Stephanie C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2009
Last updated Sep 16th, 2022 - about 2 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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