Wicks, Jennifer L.

Wicks, Jennifer L. is an individual health care provider with primary practice located at 2 Tampa General Cir Stc 5Th Floor, Tampa FL 33606-3603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wicks, Jennifer L. can be contacted via phone (813) 259-0600.

Contact Information

Primary practice address
2 Tampa General Cir Stc 5Th Floor Tampa FL 33606-3603
Phone: (813) 259-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9343457 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP9343457 Florida

Profile Details

NPI number 1073511481
LBN Legal business name Wicks, Jennifer L.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Mar 30th, 2021 - about 5 years ago

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 1073511481 NPPES
Florida MEDICAID 019798900
Florida Other 5YDQP

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