SHAKITA MARIA WAGNER
NPI 1447610928
Licensed Practical Nurse in Jacksonville, FL

Active since February 26, 2016
1455 CARPATHIAN DR, JACKSONVILLE, FL 32218(904) 524-7263 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shakita Maria Wagner NPPES

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

SHAKITA MARIA WAGNER (NPI 1447610928) is an individual licensed practical nurse in Jacksonville, Florida, licensed in Florida (PN5213896) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1447610928
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHAKITA MARIA WAGNER
Location Address1455 CARPATHIAN DRJacksonville, FL 32218-7974
Mailing Address1455 Carpathian DrJacksonville, FL 32218-7974 · (904) 524-7263
Sole ProprietorNo
Enumeration DateFebruary 26, 2016
NPI 1447610928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in FL · PN5213896
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1455 CARPATHIAN DR, Jacksonville, FL 32218

Other Names 1

Former Name (1)Shakita Maria Williams

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shakita Wagner's NPI number?

The NPI number for Shakita Wagner is 1447610928. It was assigned to this individual provider in the NPPES registry on February 26, 2016. The provider is also known as Shakita Maria Williams.

Where is Shakita Wagner located?

Shakita Wagner practices at 1455 Carpathian Dr, Jacksonville, FL 32218. The listed phone number is (904) 524-7263.

What is Shakita Wagner's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shakita Wagner was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.