Male or Other

Nicholas R. Wellington PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Nicholas R Wellington PA-C

NPI Number

1194252825

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/12/2017

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

9110304

Contact
Information

Purpose

Mailing
Location

Address

5150 BELFORT RD BLDG 400
5150 BELFORT RD BLDG 400

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32256-6026
32256-6026

Country

US
US

Telephone Number

(904) 580-4730
(904) 580-4730

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

Jacksonville

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

11481 Old St Augustine RdJacksonville, FL322581473US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/15/2021

Provider Address

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