MEDICARE: WILLIAM EDWARD SEWELL APRN, FNP-BC, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN11039931	FL

General Provider Information

NPI Number	:	1144114828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM EDWARD SEWELL APRN, FNP-BC, FNP-C

Provider Business Mailing Address
First Line	:	3948 3RD ST S # 165
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-5847
Country	:	US
Telephone Number	:	904-684-4795
Fax Number	:

Provider Business Practice Location Address
First Line	:	3948 3RD ST S # 165
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-5847
Country	:	US
Telephone Number	:	904-684-4795
Fax Number	:	904-895-6227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2025
Last Update Date	:	08/08/2025

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