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NPI Code Detail

MEDICARE: JESSIE LEE WIGGINS APRN

MEDICARE: JESSIE LEE WIGGINS APRN
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
1363L00000XNurse Practitioner11045549FL

General Provider Information

NPI Number : 1194678169
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSIE LEE WIGGINS APRN
Provider Business Mailing Address
First Line : 41 LARCH RADL
Second Line :
City : OCALA
State : FL
Zip : 34480-8266
Country : US
Telephone Number : 863-677-3000
Fax Number :
Provider Business Practice Location Address
First Line : 3130 SW 32ND AVE
Second Line :
City : OCALA
State : FL
Zip : 34474-4445
Country : US
Telephone Number : 352-732-4032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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