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

Wanda Jackson Butler, LPN

Individual provider Registered Nurse · NPI 1346973922

Wanda Jackson Butler, LPN is a Registered Nurse in Jacksonville, 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?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

555 Stockton St
Jacksonville, FL 32204-2534
Phone: (904) 387-4661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 312051 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 312051 (FL)

Record details

NPI number1346973922
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJuly 1, 2022
Last updated in NPPESJuly 1, 2022
Certification dateJune 18, 2022

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