Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Crystal Ann Wade, MSN, AG-ACNP-BC

Individual provider Nurse Practitioner · NPI 1073173142

Mrs. Crystal Ann Wade, MSN, AG-ACNP-BC is a Nurse Practitioner in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
3
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

655 W Eighth St Acc Bldg 2ND Fl
Jacksonville, FL 32209-3220
Phone: (904) 244-1010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 11002837 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 11002837 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11002837 (FL)

Record details

NPI number1073173142
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , AG-ACNP-BC
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESAugust 2, 2022
Certification dateJuly 21, 2022

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