MR. MICHAEL WILSON


Address: 710 Lomax St, Jacksonville, FL 32204-4015
Phone: 9043066781

MR. MICHAEL WILSON (NPI# 1740741495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740741495
Entity Type Individual
Full Name MR. MICHAEL WILSON
Credential MSN, APRN-BC
Practice Address 710 Lomax St
Jacksonville
FL 32204-4015
Practice Telephone 9043066781
Enumeration Date 2019-03-26
Last Update Date 2019-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN11001960 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 710 LOMAX ST
City JACKSONVILLE
State FL
Zip Code 32204-4015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154396695 Shannon Marie Cordes Nurse Practitioner 710 Lomax St, Jacksonville, FL 32204-4004 2006-02-20
1003254228 Kyle Hollingsworth Specialist/Technologist 710 Lomax St, Jacksonville, FL 32204-4015 2013-06-10
1700129707 Matthew Alan Nielsen Urology 710 Lomax St, Jacksonville, FL 32204 2013-03-28
1619221637 Florida Physician Specialists LLC Urology 710 Lomax St, Jacksonville, FL 32204-4004 2012-10-29
1588917108 Florida Physician Specialists LLC Radiology 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 2012-10-19
1114224961 Tara A Romeu Physician Assistant 710 Lomax St, Jacksonville, FL 32204-4015 2011-02-14
1407096183 Integrated Community Oncology Network LLC Radiology 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 2009-02-20
1457529786 Integrated Community Oncology Network LLC Urology 710 Lomax St, Jacksonville, FL 32204-4004 2008-02-20
1770604548 Sagar R. Shah Urology 710 Lomax St, Jacksonville, FL 32204-4004 2007-04-02
1548301336 James Atherton Baldock Urology 710 Lomax St, Jacksonville, FL 32204-4004 2007-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1346849502 Caitlin Flott Nurse Practitioner 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 2020-10-20
1972101137 Amanda Brooke Mills Nurse Practitioner 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 2020-10-10
1649877200 Shalom Barile Nurse Practitioner 1377 Ingleside Ave, Jacksonville, FL 32205-7733 2020-10-07
1013524248 Claudia Joseph Nurse Practitioner 3331 Net Ct, Jacksonville, FL 32277-2735 2020-10-01
1063029577 Erica Francisca Andrade Nurse Practitioner 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 2020-09-29
1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
1013522309 William David Michal Nurse Practitioner 4417 Chippewa Dr, Jacksonville, FL 32210-6006 2020-09-13
1063025906 Fabiola Baptiste Nurse Practitioner 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 2020-08-29
1295348464 Debi Cohen Nurse Practitioner 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 2020-08-27
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Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

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.

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