Roberta Vesta Wall ARNP

NPI 1649365479 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1649365479
Gender Female
Enumeration Date 10/04/2006
Last Updated 10/18/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
655 W 8TH ST
JACKSONVILLE FL, 32209-6511, US
Phone (904) 244-8733
Fax
Business Location
6346 CHRISTOPHER CREEK ROAD WEST
JACKSONVILLE FL, 32217, US
Phone (904) 244-8733
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Florida
License Number ARNP 9258859
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According to our database, Roberta Vesta Wall ARNP NPI is 1649365479, taxonomy code is 363L00000X and license number is ARNP 9258859, license state is located at Florida. Roberta Vesta Wall ARNP physically located at 655 W 8th St, Jacksonville FL, 32209-6511. NPI Number Roberta Vesta Wall ARNP has the Individual type.

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1649365479 NPI number is provided on an as is basis without warranty of any kind. 1649365479 is maintained by the National Plan & Provider Enumeration System. The contents of Roberta Vesta Wall ARNP are for informational purposes only.