Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnnetta Nicole Wider, RN

Individual provider Ambulatory Care Registered Nurse · NPI 1710329495

Johnnetta Nicole Wider, RN is an Ambulatory Care Registered Nurse in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5523 Kilcullen Ln
Jacksonville, FL 32244-6258
Phone: (904) 672-7820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 2911422 (FL)

Record details

NPI number1710329495
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 23, 2013
Last updated in NPPESJuly 23, 2013

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