JESSICA WILDE F.N.P NPI 1548711153

NPI Information

NPI: 1548711153
Provider Name: JESSICA WILDE, F.N.P
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4360 THOUSAND OAKS DR
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 655-2300
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Jessica Wilde, F.N.P is a family nurse practitioner in San Antonio, TX. Jessica Wilde, F.N.P NPI is 1548711153. 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:

4360 THOUSAND OAKS DR
SAN ANTONIO, TX
ZIP 78217-153
Phone: (210) 655-2300

The enumeration date for this NPI number is 10/18/2016 and was last updated on 10/18/2016.

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	363LF0000X	Nurse Practitioner	Family	AP132311	TEXAS	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	AP132311	MEDICAID	TEXAS

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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