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

Mariah Wrinkle

Individual provider Physician Assistant · NPI 1912424888

Mariah Wrinkle is a Physician Assistant in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 235-0470
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1912424888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJune 8, 2020
Mailing addressPo Box 370, Fortson, GA 31808-0370

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