ROBERTA VESTA WALL ARNP
NPI 1649365479
Nurse Practitioner in Jacksonville, FL

Q: What is Roberta Wall's NPI number?

The NPI number for Roberta Wall is 1649365479. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Roberta Wall'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 Roberta Wall was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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, 2006

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-8733 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roberta Vesta Wall Arnp NPPES

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

ROBERTA VESTA WALL ARNP (NPI 1649365479) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP 9258859) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1649365479

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameROBERTA VESTA WALLCredential: ARNP

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing Address6346 Christopher Creek Road WestJacksonville, FL 32217 · (904) 244-8733

Phone(904) 244-8733

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateOctober 18, 2007

✔ NPI 1649365479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP 9258859

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.

655 W 8TH ST, Jacksonville, FL 32209

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Other Identifiers 1

Medicare PINAE944ZFL

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.

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology