Taylor Max Wade, FNP-C Valid NPI

Individual provider · Nurse Practitioner · Jacksonville, AL

NPI

1689139040

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

F01191470 (AL)

Sex

Male

Sole proprietor

No

Enumerated

2019-02-08

Last updated

2021-01-14