NATAVIA M WICKER OTA
NPI 1063166858
Home Health in Jacksonville, FL

Active since February 09, 2022
8171 JOFFRE DR, JACKSONVILLE, FL 32210(904) 672-6479 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Natavia M Wicker Ota NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATAVIA M WICKER OTA (NPI 1063166858) is an individual home health provider in Jacksonville, Florida and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1063166858
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameNATAVIA M WICKERCredential: OTA
Location Address8171 JOFFRE DRJacksonville, FL 32210-2416
Mailing Address1169 E 1st StJacksonville, FL 32206-5355 · (904) 672-6469
Sole ProprietorYes
Enumeration DateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
NPI 1063166858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

8171 JOFFRE DR, Jacksonville, FL 32210

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
8171 JOFFRE DR
JACKSONVILLE, FL 32210
Home Health
8171 JOFFRE DR
JACKSONVILLE, FL 32210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063166858, enumerated as an "individual" on February 09, 2022.

The provider is located at 8171 JOFFRE DR JACKSONVILLE, FL 32210 and the phone number is (904) 672-6479.

Home Health with taxonomy code 251E00000X.