Roberta Vesta Wall in Jacksonville - Nurse Practitioner
Roberta Vesta Wall - NPI 1649365479
Roberta Vesta Wall is a Nurse Practitioner in Jacksonville, Florida. Roberta Vesta Wall practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Roberta Vesta Wall is 1649365479. The last update date is 2007-10-18.
Roberta Vesta Wall's current location address is 6346 Christopher Creek Road West, Jacksonville, Florida. You can contact this provider via phone number 9042448733. The mailing address for Roberta Vesta Wall is 6346 Christopher Creek Road West, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roberta Vesta Wall |
|---|---|
| Address | 6346 Christopher Creek Road West, Jacksonville, Florida |
| Phone Number | 9042448733 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1649365479 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 6346 Christopher Creek Road West |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32217 |
| Phone Number | 9042448733 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP 9258859 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Post Comment/ Review Below
What is the Roberta Vesta Wall's 1649365479?
The Roberta Vesta Wall's NPI (National Provider Identifier) Number is 1649365479. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Roberta Vesta Wall is physically located?
The Roberta Vesta Wall is physically situated at the following address: 6346 Christopher Creek Road West, Jacksonville, FL, 32217.
What is Roberta Vesta Wall's area of expertise and its corresponding taxonomy classification?
The Roberta Vesta Wall's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1649365479 to Roberta Vesta Wall?
The Roberta Vesta Wall received its 1649365479 assignment from the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details pertaining to Roberta Vesta Wall last refreshed?
The information related to the Roberta Vesta Wall, including its address, specialty, and other relevant details, was last updated on 2007-10-18.