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MARIAH WRINKLE
NPI 1912424888
Physician Assistant in Jacksonville, FL

Active since August 23, 2017
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 235-0470 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 8, 2020, Aug 23, 2017 (3 updates tracked since 2017).

About Mariah Wrinkle NPPES

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

MARIAH WRINKLE (NPI 1912424888) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1912424888
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAH WRINKLE
Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216-4207
Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008
Phone(904) 235-0470
Sole ProprietorNo
Enumeration DateAugust 23, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
✔ NPI 1912424888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3625 UNIVERSITY BLVD S, Jacksonville, FL 32216
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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.

LINDSAY MICHELLE PUTKOWSKI CRNA
Nurse Anesthetist, Certified Registered
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6111
KENNETH AUNG-DIN MD
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 399-6811
MRS. GLORIANNE BOYD RD,LD/N
Dietitian, Registered
3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216
Duval County (904) 399-6313
PETER LOUIS KOVACS MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
NAKISH DANIELLE GRANT M.D.
General Practice
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6111
SUMMIT EMERGENCY PHYSICIANS, LLC
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (469) 401-2386
KELLY MICHELLE DEWIT PHARMD
Pharmacist
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6160
DR. JUDY BOWERS M.D.
Obstetrics & Gynecology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6850

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 Mariah Wrinkle's NPI number?

The NPI number for Mariah Wrinkle is 1912424888. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Mariah Wrinkle located?

Mariah Wrinkle practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 235-0470.

What is Mariah Wrinkle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mariah Wrinkle was last updated on July 21, 2022. 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.