Ying Carmen Wang

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11031686 Issued in FL

Practice address

12088 Calvesta St
Jacksonville, FL 32256-8290

Phone

(904) 465-7772

NPI assigned

Mar 6, 2024

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1871351783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12088 CALVESTA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568290",
            "telephone_number": "904-465-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12088 CALVESTA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568290",
            "telephone_number": "904-465-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YING",
        "middle_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11031686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruei-Hsin Wang, MD
• Stephen Y Wang
• Wei Wang, MD
• Wen Wang, MD
• Yichen Wang, M.D.
• Yue Wang, RDH
• Chalothorn Wannaphut, M.D.
• Katherine Scarlett Wanzo
• War Cry Ministry Inc (W C Counseling Services)
• Warby Parker Inc.

• Primary Care Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.