JENNIFER KELLY WILSON DNP RN CPNP-PC NPI 1093581423

NPI Information

  • NPI: 1093581423
  • Provider Name: JENNIFER KELLY WILSON, DNP, RN, CPNP-PC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1600 BEACON ST APT 312
    BROOKLINE, MA
    ZIP 02446
  • Phone: (203) 339-2161

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NPI Details

Jennifer Kelly Wilson, DNP, RN, CPNP-PC is a pediatrics nurse practitioner in Brookline, MA. Jennifer Kelly Wilson, DNP, RN, CPNP-PC NPI is 1093581423. 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:

1600 BEACON ST APT 312
BROOKLINE, MA
ZIP 02446-223
Phone: (203) 339-2161

The enumeration date for this NPI number is 11/27/2023 and was last updated on 11/28/2023.

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
1363LP0200XNurse PractitionerPediatrics2363283MASSACHUSETTSYes

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: 3/30/2025

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