Doctor profile · Federal record
Dr. Agnes Wahl, Nurse Practitioner
Nurse Practitioner · Family Nurse Practitioner · Jacksonville, FL
- NPI 1366952251
- 9 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4500 San Pablo RD S
Jacksonville, FL 32224
(904) 953-2000 - Additional location
-
350 Printers Pkwy
Colorado Springs, CO 809103190
(719) 632-5700
Credentials & registration
- NPI registered
- October 2017 — 9 yrs on file
- Profile last updated
- November 15, 2018
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (2)
- Florida #9337637 · Colorado #0993433
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366952251. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$34
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| REVANCE THERAPEUTICS, INC. | 1 | $18.68 | |
| Amgen Inc. | 1 | $15.11 |
By nature of payment
Frequently asked questions
What is Dr. Agnes Wahl's medical specialty?
Dr. Agnes Wahl practices Nurse Practitioner in Jacksonville, FL.
Where does Dr. Agnes Wahl practice?
Dr. Agnes Wahl practices at 4500 San Pablo RD S, Jacksonville, FL 32224. Office phone: 9049532000.
What is Dr. Agnes Wahl's NPI?
Dr. Agnes Wahl's National Provider Identifier (NPI) is 1366952251, issued by NPPES.