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KATHRYN BLAIRE WILSON APRN
NPI 1558064535
Nurse Practitioner - Family in Jacksonville, FL

Active since March 27, 2023
4853 BIG ISLAND DR, JACKSONVILLE, FL 32246(904) 686-7525 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathryn Blaire Wilson Aprn NPPES

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

KATHRYN BLAIRE WILSON APRN (NPI 1558064535) is an individual family provider in Jacksonville, Florida, licensed in Florida (11025439) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1558064535
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN BLAIRE WILSONCredential: APRN
Location Address4853 BIG ISLAND DRJacksonville, FL 32246-7404
Mailing Address5919 Approach Rd Ste ASarasota, FL 34238-5720 · (941) 552-8294
Phone(904) 686-7525
Sole ProprietorYes
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1558064535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11025439
4853 BIG ISLAND DR, Jacksonville, FL 32246
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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 Kathryn Wilson's NPI number?

The NPI number for Kathryn Wilson is 1558064535. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Kathryn Wilson located?

Kathryn Wilson practices at 4853 Big Island Dr, Jacksonville, FL 32246. The listed phone number is (904) 686-7525.

What is Kathryn Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kathryn Wilson was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.