Jennifer L. Wicks APRN
Nurse Practitioner in Tampa, FL(View on Map)
Full Name
Jennifer L. Wicks APRN
NPI Number
1073511481
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/09/2005
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ARNP9343457
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 917770
2 TAMPA GENERAL CIR
City
Orlando
Tampa
State
FL
FL
Postal Code
32891-0001
33606-3603
Country
US
US
Telephone Number
N/A
(813) 259-0600
Identifiers
Identifier
019798900
5YDQP
Identifier State
FL
FL
Identifier Issuer
Unknown
BLUE CROSS BLUE SHIELD
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
jwicks65236@direct.tgh.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
2 Tampa General CirSTC 5th FloorTampa, FL336063603US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/30/2021
Provider Address
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