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GLORIA WILSON
NPI 1619647070
General Practice in Jacksonville, FL

Active since September 16, 2021
6943 LUCKY DR E, JACKSONVILLE, FL 32208(904) 428-2930(904) 586-2044 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gloria Wilson NPPES

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

GLORIA WILSON (NPI 1619647070) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (NA) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1619647070
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameGLORIA WILSON
Location Address6943 LUCKY DR EJacksonville, FL 32208-4187
Mailing Address6943 Lucky Dr EJacksonville, FL 32208-4187 · (904) 428-2930 · Fax (904) 586-2044
Phone(904) 428-2930
Fax(904) 586-2044
Sole ProprietorNo
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1619647070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · NA
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6943 LUCKY DR E, Jacksonville, FL 32208
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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 Gloria Wilson's NPI number?

The NPI number for Gloria Wilson is 1619647070. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Gloria Wilson located?

Gloria Wilson practices at 6943 Lucky Dr E, Jacksonville, FL 32208. The listed phone number is (904) 428-2930.

What is Gloria Wilson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Gloria Wilson was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.