Chambers, Wendy L

Chambers, Wendy L is an individual health care provider with primary practice located at 4203 Belfort Rd Ste 108 , Jacksonville FL 32216-1411. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Chambers, Wendy L can be contacted via phone (904) 450-6460.

Contact Information

Primary practice address
4203 Belfort Rd Ste 108 Jacksonville FL 32216-1411
Phone: (904) 450-6460
Fax: (904) 450-6469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3225 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3225 Florida

Profile Details

NPI number 1417923822
LBN Legal business name Chambers, Wendy L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2006
Last updated Jan 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417923822 NPPES
Georgia MEDICAID 135550005A
Georgia MEDICAID 2907160-00

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