AGNES WOZNIAK WAHL NURSE PRACTITIONER
NPI 1366952251
Nurse Practitioner in Jacksonville, FL

Q: What is Agnes Wahl's NPI number?

The NPI number for Agnes Wahl is 1366952251. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Q: What is Agnes Wahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Agnes Wahl was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2017

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Agnes Wozniak Wahl Nurse Practitioner NPPES

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

AGNES WOZNIAK WAHL NURSE PRACTITIONER (NPI 1366952251) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (9337637) and active in the NPI registry since October 2017. She maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1366952251

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAGNES WOZNIAK WAHLCredential: NURSE PRACTITIONER

Location Address4500 SAN PABLO RD SJacksonville, FL 32224

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateOctober 4, 2017

Last NPPES UpdateNovember 15, 2018

✔ NPI 1366952251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 9337637

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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0993433 (CO)

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 1350 Printers PkwyColorado Springs, CO 80910-3190 · Phone (719) 632-5700

Other Providers at the Same Location NPPES 20

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

KATHERINE L WALSH PA-C/MPH

Physician Assistant