KENDRA WILSON FNP NPI 1255755997

NPI Information

NPI: 1255755997
Provider Name: KENDRA WILSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8000
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Kendra Wilson, FNP is a family nurse practitioner in Fort Defiance, AZ with 8 years of experience. Kendra Wilson, FNP NPI is 1255755997. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8000

The NPI 1255755997 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/18/2014 and was last updated on 10/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	RN144375	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	AP5411	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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