WENDY LYNN KING (NPI# 1336781772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336781772 |
| Entity Type | Individual |
| Full Name | WENDY LYNN KING |
| Other Name | WENDY LYNN HATCHER |
| Credential | APRN |
| Practice Address |
120 King St Jacksonville FL 32204-2410 |
| Mailing Address |
385 Maplewood Dr Saint Johns FL 32259-4374 |
| Practice Telephone | 9047604904 |
| Mailing Telephone | 2298810381 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
11004528 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1680 Dunn Ave Ste 35, Jacksonville, FL 322184744 | 9047604904 | |
| 3900 University Blvd S Ste 2, Jacksonville, FL 322164331 | 9047604904 | |
| 1880 Edgewood Ave W, Jacksonville, FL 322083021 | 9047604904 | |
| 6024 Merrill Rd, Jacksonville, FL 322773427 | 9047604904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700366655 | Wendy King | Nurse Practitioner | 3060 Duncan Dr, Shreveport, LA 71119-2302 | 2018-08-20 |
| 1841583739 | Wendy Kay King | Registered Nurse | 251 S. Pine Grove Road, Stanton, MI 48888 | 2011-05-25 |
| 1114132677 | Wendy M King | Physical Therapist | 389 Mc Campbell Hall, 1581 Dodd Dr., Columbus, OH 43210-1205 | 2007-05-10 |
| 1528184181 | Wendy Jean King | Physician Assistant | 1275 Elm Street, West Springfield, MA 01089 | 2007-03-22 |
| 1235210451 | Wendy Burleigh King | Nurse Practitioner | 2523 E Garfield St, Suite B, Laramie, WY 82070-4989 | 2006-10-17 |
| 1508833724 | Wendy L King | Internal Medicine | 200 Health Park Drive, Owosso, MI 48867 | 2006-03-07 |
| 1760082572 | Wendy King | Homemaker | 19 Main St, Elkins, WV 26241-3125 | 2020-10-30 |
| 1437674181 | Wendy Dyanne King | Behavioral Analyst | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-08-03 |
| 1356894372 | Wendy King | Physical Therapist | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2016-07-26 |
| 1528410404 | Wendy King | Occupational Therapist | 1820 Shore Dr S, South Pasadena, FL 33707-4601 | 2016-07-05 |
| Street Address |
120 KING ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718104 | Christine J Trunk | Dentist | 120 King St, Jacksonville, FL 32204-2410 | 2005-11-23 |
| 1497269880 | Jau R Evans | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2017-11-22 |
| 1225576499 | Shaunetra Toler | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2017-02-07 |
| 1053863746 | Charles Emerson | Physician Assistant | 120 King St, Jacksonville, FL 32204-2410 | 2016-10-27 |
| 1992154181 | Agape Community Health Center Inc | Pharmacy | 120 King St, Jacksonville, FL 32204-2410 | 2016-06-08 |
| 1962867762 | Agape Community Health Center, Inc. | Clinic/Center | 120 King St, Jacksonville, FL 32204-2410 | 2015-12-21 |
| 1447621420 | Judith Hepburn | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2015-10-15 |
| 1043631435 | Shelly Anthony | Dental Hygienist | 120 King St, Jacksonville, FL 32204-2410 | 2014-01-02 |
| 1205013232 | Florida Department of Health | Public Health or Welfare | 120 King St, Mc 75, Jacksonville, FL 32204-2410 | 2008-01-22 |
| 1548440076 | Gwendolyn Ann Merritt | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2007-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144707183 | Kevin Troup | Nurse Practitioner | 559 Apple Creek Dr, Jacksonville, FL 32218-8954 | 2018-07-23 |
| 1629447552 | Kelly Conway Watson | Nurse Practitioner | 12317 Soaring Flight Dr, Jacksonville, FL 32225-0784 | 2015-09-22 |
| 1750795803 | Maria Gianna Agustin | Nurse Practitioner | 5618 Jeremy Ln, Jacksonville, FL 32257-3215 | 2014-06-17 |
| 1881021376 | Erika Laine Baker | Nurse Practitioner | 655 W 8th St # C3, Clinical Center 6th Floor, Suite 6-030, Jacksonville, FL 32209-6511 | 2013-09-30 |
| 1598010688 | Gabrielle Rollins | Nurse Practitioner | 10095 Beach Blvd Ste 400, Jacksonville, FL 32246-4776 | 2012-07-16 |
| 1255659629 | Paul Bryan Hofrichter | Nurse Practitioner | 10475 Centruion Parkway, N., Suite 220, Jacksonville, FL 32256 | 2010-05-11 |
| 1306972161 | Robin Paylor Johnson | Nurse Practitioner | 10337 San Jose Blvd Ste 104, Jacksonville, FL 32257-8223 | 2007-02-26 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1336191121 | Lori M Olivarez | Nurse Practitioner | 7807 Baymeadows Rd E., Suite 207, Jacksonville, FL 32256 | 2006-05-17 |
| 1568453504 | Dolores C Jones | Nurse Practitioner | 8344 Whitmire Ct, Jacksonville, FL 32216-1159 | 2005-10-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on WENDY LYNN KING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.