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

Mr. Jamie Wilson IV, APRN

Individual provider Family Nurse Practitioner · NPI 1104557206

Mr. Jamie Wilson IV, APRN is a Family Nurse Practitioner in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1839 Central Ave
St Petersburg, FL 33713-8900
Phone: (727) 322-1054
Fax: (727) 821-7213
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN11020316 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11020316 (FL)

Record details

NPI number1104557206
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedJune 20, 2022
Last updated in NPPESMay 24, 2024
Certification dateDecember 11, 2023

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