JENNIFER MICHELLE WILSON PA-C NPI 1508151606

NPI Information

NPI: 1508151606
Provider Name: JENNIFER MICHELLE WILSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1760 E RIVER RD
STE. # 350
TUCSON, AZ
ZIP 85718
Phone: (520) 519-7775
Get Directions

Jennifer Michelle Wilson, PA-C is a medical physician assistant in Tucson, AZ. Jennifer Michelle Wilson, PA-C NPI is 1508151606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1760 E RIVER RD
STE. # 350
TUCSON, AZ
ZIP 85718-877
Phone: (520) 519-7775

The enumeration date for this NPI number is 6/16/2011 and was last updated on 1/31/2014.

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	363AS0400X	Physician Assistant	Surgical	PA-091	NEW MEXICO	No
2	363AM0700X	Physician Assistant	Medical	5385	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	661364	MEDICAID	ARIZONA
2	Z158888	MEDICARE PIN	ARIZONA

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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